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Transcath closure of asd at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$15,283.20
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.
$25,472.00
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.
$1,820.40 with UPMC Work Partners vs $21,651.20 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $1,820.40 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,830.32 | ↓ -88% |
| Private Health Care Systems | Workers' Comp | $2,116.75 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,075.18 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,080.12 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $5,457.79 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,803.74 | ↓ -55% |
| UPMC Health Plan | Commercial | $7,101.49 | ↓ -54% |
| Cigna | New Business ASO | $8,660.48 | ↓ -43% |
| Cigna | Commercial | $10,188.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $10,915.59 | ↓ -29% |
| Health Plan of Upper Ohio Valley | Commercial | $11,768.06 | ↓ -23% |
| PA Health & Wellness | PA Medicaid HMO | $14,009.60 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $15,909.23 | ↑ +4% |
| Health Plan of Upper Ohio Valley | Medicaid | $17,119.58 | ↑ +12% |
| Health Plan of Upper Ohio Valley | Medicare | $17,119.58 | ↑ +12% |
| Coventry/First Health | Commercial | $17,830.40 | ↑ +17% |
| Aetna of PA | Medicare | $17,975.56 | ↑ +18% |
| United Healthcare | Unison Advantage Non Special Needs | $17,975.56 | ↑ +18% |
| Highmark Wholecare (prev Gateway) | Medicare | $18,487.43 | ↑ +21% |
| AmeriHealth Caritas | Medicare | $18,489.15 | ↑ +21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18,489.15 | ↑ +21% |
| Aetna | Medicare | $18,831.54 | ↑ +23% |
| United Healthcare | Unison Advantage Special Needs | $18,831.54 | ↑ +23% |
| InterGroup | PPO | $21,141.76 | ↑ +38% |
| Humana | Commercial | $21,651.20 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $21,651.20 | ↑ +42% |
| Private Health Care Systems | PPO | $21,651.20 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Transcath closure of asd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $14,788.80 | $931.20 – $20,950.80 |
| UPMC Somerset | Somerset | $29,803.20 | $892.40 – $37,254.00 |