healthcosts.net
Susceptibility mic per plate at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$168.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$281.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$8.04 with UPMC Health Plan vs $84.15 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $8.04 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $8.55 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicaid | $8.65 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicare | $8.65 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $8.80 | ↓ -95% |
| Aetna of PA | Medicare | $9.08 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $9.08 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $9.20 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $9.34 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $9.34 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9.34 | ↓ -94% |
| Aetna | Medicare | $9.52 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $9.52 | ↓ -94% |
| Private Health Care Systems | Workers' Comp | $9.94 | ↓ -94% |
| UPMC Health Plan | Commercial | $10.93 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.86 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.49 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $13.63 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16.87 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $29.30 | ↓ -83% |
| Cigna | New Business ASO | $33.66 | ↓ -80% |
| Highmark BCBS of PA | Managed Care | $39.24 | ↓ -77% |
| Cigna | Commercial | $39.60 | ↓ -77% |
| Health Plan of Upper Ohio Valley | Commercial | $45.74 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $46.82 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $62.71 | ↓ -63% |
| Coventry/First Health | Commercial | $69.30 | ↓ -59% |
| Highmark BCBS of PA | UPMC Emergent | $78.47 | ↓ -53% |
| InterGroup | PPO | $82.17 | ↓ -51% |
| Humana | Commercial | $84.15 | ↓ -50% |
| Multiplan | PPO (Includes Workers' Comp) | $84.15 | ↓ -50% |
| Private Health Care Systems | PPO | $84.15 | ↓ -50% |
Visitor-reported prices
Comments
Susceptibility mic per plate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $96.00 | $7.21 – $144.00 |
| UPMC Presbyterian | Pittsburgh | $88.20 | $8.00 – $124.95 |
| UPMC St. Margaret | Pittsburgh | $74.40 | $7.47 – $105.40 |
| UPMC Muncy | Muncy | $187.80 | $8.55 – $248.00 |
| UPMC Northwest | Seneca | $42.00 | $7.84 – $59.50 |
| UPMC Somerset | Somerset | $48.60 | $8.55 – $39.75 |
| UPMC Wellsboro | Wellsboro | $224.80 | $8.00 – $252.90 |
| UPMC Williamsport | Williamsport | $186.00 | $8.55 – $248.00 |