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Target gsa panel organ/hmtlmph neop at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$8,669.40
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.
$14,449.00
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.
$1,375.30 with Cigna vs $9,614.63 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 | $1,375.30 | ↓ -84% |
| Cigna | Commercial | $1,618.00 | ↓ -81% |
| Health Plan of Upper Ohio Valley | Commercial | $1,868.79 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,869.20 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↓ -70% |
| United Healthcare Community Plan for Families | Unison Kids | $2,686.03 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $2,713.18 | ↓ -69% |
| Coventry/First Health | Commercial | $2,831.50 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↓ -67% |
| Health Plan of Upper Ohio Valley | Medicaid | $2,919.60 | ↓ -66% |
| Health Plan of Upper Ohio Valley | Medicare | $2,919.60 | ↓ -66% |
| Aetna of PA | Medicare | $3,065.58 | ↓ -65% |
| United Healthcare | Unison Advantage Non Special Needs | $3,065.58 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,152.88 | ↓ -64% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↓ -64% |
| Aetna | Medicare | $3,211.56 | ↓ -63% |
| United Healthcare | Unison Advantage Special Needs | $3,211.56 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,246.02 | ↓ -63% |
| Private Health Care Systems | Workers' Comp | $3,355.24 | ↓ -61% |
| InterGroup | PPO | $3,357.35 | ↓ -61% |
| Humana | Commercial | $3,438.25 | ↓ -60% |
| Multiplan | PPO (Includes Workers' Comp) | $3,438.25 | ↓ -60% |
| Private Health Care Systems | PPO | $3,438.25 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,646.23 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $3,980.47 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $4,347.32 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,188.04 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,948.27 | ↓ -20% |
| Highmark BCBS of PA | UPMC Emergent | $8,694.65 | ↑ +0% |
| UPMC Health Plan | Commercial | $9,614.63 | ↑ +11% |
Visitor-reported prices
Comments
Target gsa panel organ/hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,739.00 | $1,851.57 – $8,608.50 |
| UPMC Presbyterian | Pittsburgh | $9,920.40 | $1,869.20 – $3,635.95 |
| UPMC St. Margaret | Pittsburgh | $5,739.00 | $1,869.20 – $8,130.25 |
| UPMC Northwest | Seneca | $5,739.00 | $1,618.00 – $3,438.25 |
| UPMC Wellsboro | Wellsboro | $5,631.60 | $1,689.48 – $8,447.40 |
| UPMC Williamsport | Williamsport | $5,526.00 | $2,569.25 – $7,368.00 |