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Target gsa panel hmtlmph neop at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,792.60
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.
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What you pay up front if you don't use insurance.
$6,321.00
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.
$130.22 with Cigna vs $2,302.17 with UPMC Health Plan — 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 |
|---|---|---|---|
| Cigna | New Business ASO | $130.22 | ↓ -97% |
| Cigna | Commercial | $153.20 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Commercial | $176.95 | ↓ -95% |
| Coventry/First Health | Commercial | $268.10 | ↓ -93% |
| InterGroup | PPO | $317.89 | ↓ -92% |
| Humana | Commercial | $325.55 | ↓ -91% |
| Multiplan | PPO (Includes Workers' Comp) | $325.55 | ↓ -91% |
| Private Health Care Systems | PPO | $325.55 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $457.42 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $668.38 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison Kids | $698.76 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $705.83 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $750.66 | ↓ -80% |
| Health Plan of Upper Ohio Valley | Medicaid | $759.53 | ↓ -80% |
| Health Plan of Upper Ohio Valley | Medicare | $759.53 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $794.34 | ↓ -79% |
| Aetna of PA | Medicare | $797.51 | ↓ -79% |
| United Healthcare | Unison Advantage Non Special Needs | $797.51 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $820.22 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $820.29 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $820.29 | ↓ -78% |
| Aetna | Medicare | $835.48 | ↓ -78% |
| United Healthcare | Unison Advantage Special Needs | $835.48 | ↓ -78% |
| Private Health Care Systems | Workers' Comp | $872.86 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $901.10 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $948.56 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $1,035.51 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $1,063.84 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,269.58 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,700.32 | ↓ -55% |
| Highmark BCBS of PA | UPMC Emergent | $2,127.68 | ↓ -44% |
| UPMC Health Plan | Commercial | $2,302.17 | ↓ -39% |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,353.00 | $279.00 – $900.00 |
| UPMC Presbyterian | Pittsburgh | $3,169.80 | $457.42 – $945.88 |
| UPMC St. Margaret | Pittsburgh | $7,146.00 | $457.42 – $1,916.75 |
| UPMC Muncy | Muncy | $2,947.80 | $621.75 – $3,316.00 |
| UPMC Northwest | Seneca | $7,146.00 | $400.00 – $850.00 |
| UPMC Wellsboro | Wellsboro | $3,743.20 | $180.00 – $916.29 |
| UPMC Williamsport | Williamsport | $1,302.00 | $270.00 – $820.29 |