System pcmkr dual chamber leadless micra av2 intrdcr cath at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$31,525.20
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.
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What you pay up front if you don't use insurance.
$52,542.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$0.22 with Highmark Wholecare (prev Gateway) vs $32,530.96 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $0.22 | ↓ -100% |
| Aetna | Medicare | $0.25 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $0.33 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.34 | ↓ -100% |
| Cigna | New Business ASO | $0.34 | ↓ -100% |
| Cigna | Commercial | $0.40 | ↓ -100% |
| Health Plan of Upper Ohio Valley | Commercial | $0.46 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.50 | ↓ -100% |
| Coventry/First Health | Commercial | $0.70 | ↓ -100% |
| InterGroup | PPO | $0.83 | ↓ -100% |
| Multiplan | PPO (Includes Workers' Comp) | $0.85 | ↓ -100% |
| Private Health Care Systems | PPO | $0.85 | ↓ -100% |
| Humana | Commercial | $0.85 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,422.80 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $12,144.60 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $12,275.65 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $16,265.48 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $16,440.60 | ↓ -48% |
| UPMC Health Plan | Commercial | $26,800.70 | ↓ -15% |
| Highmark BCBS of PA | UPMC Emergent | $32,530.96 | ↑ +3% |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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System pcmkr dual chamber leadless micra av2 intrdcr cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $12,878.40 | $4,381.08 – $14,583.84 |
| UPMC Presbyterian | Pittsburgh | $33,284.40 | $4,422.80 – $29,860.93 |
| UPMC Altoona | Altoona | $11,250.00 | $0.19 – $18,468.91 |
| UPMC Bedford | Everett | $9,612.00 | $1,998.99 – $18,468.91 |
| UPMC Cole | Coudersport | $6,752.40 | $2,138.26 – $9,003.20 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $23,061.01 |
| UPMC East | Monroeville | $25,932.00 | $4,422.80 – $21,512.80 |
| UPMC Hamot | Erie | $24,756.60 | $4,381.08 – $4,381.08 |