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Tc-99m labeled rbc at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$322.20
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.
$537.00
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.
$134.25 with Aetna vs $1,060.56 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 |
|---|---|---|---|
| Aetna | Medicare | $134.25 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $144.19 | ↓ -55% |
| Cigna | New Business ASO | $182.58 | ↓ -43% |
| Cigna | Commercial | $214.80 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $248.09 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $268.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $295.35 | ↓ -8% |
| Coventry/First Health | Commercial | $375.90 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $395.93 | ↑ +23% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $400.21 | ↑ +24% |
| InterGroup | PPO | $445.71 | ↑ +38% |
| Humana | Commercial | $456.45 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $456.45 | ↑ +42% |
| Private Health Care Systems | PPO | $456.45 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $530.28 | ↑ +65% |
| Highmark BCBS of PA | Commercial - Indemnity | $535.99 | ↑ +66% |
| UPMC Health Plan | Commercial | $973.37 | ↑ +202% |
| Highmark BCBS of PA | UPMC Emergent | $1,060.56 | ↑ +229% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
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Tc-99m labeled rbc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $282.00 | $117.50 – $529.67 |
| UPMC Presbyterian | Pittsburgh | $2,449.80 | $106.38 – $1,084.51 |
| UPMC St. Margaret | Pittsburgh | $1,029.60 | $144.19 – $1,458.60 |
| UPMC Muncy | Muncy | $147.00 | $36.75 – $220.50 |
| UPMC Somerset | Somerset | $590.40 | $141.39 – $738.00 |
| UPMC Wellsboro | Wellsboro | $177.60 | $39.96 – $199.80 |
| UPMC Williamsport | Williamsport | $147.00 | $66.15 – $220.50 |