Trauma partial team response w/critical care services level 4 at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$8,753.40
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.
$14,589.00
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.
$782.34 with Cigna vs $7,728.60 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 | $782.34 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $897.39 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $897.39 | ↓ -90% |
| Highmark BCBS of PA | Managed Care | $897.39 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $897.39 | ↓ -90% |
| Cigna | Commercial | $920.40 | ↓ -89% |
| Health Plan of Upper Ohio Valley | Commercial | $1,063.06 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,150.50 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $1,172.29 | ↓ -87% |
| Health Plan of Upper Ohio Valley | Medicare | $1,261.48 | ↓ -86% |
| Health Plan of Upper Ohio Valley | Medicaid | $1,261.48 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $1,265.55 | ↓ -86% |
| Aetna of PA | Medicare | $1,324.55 | ↓ -85% |
| United Healthcare | Unison Advantage Non Special Needs | $1,324.55 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,362.27 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $1,362.40 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,362.40 | ↓ -84% |
| Aetna | Medicare | $1,387.63 | ↓ -84% |
| United Healthcare | Unison Advantage Special Needs | $1,387.63 | ↓ -84% |
| Coventry/First Health | Commercial | $1,610.70 | ↓ -82% |
| Highmark BCBS of PA | UPMC Emergent | $1,794.78 | ↓ -79% |
| InterGroup | PPO | $1,909.83 | ↓ -78% |
| Humana | Commercial | $1,955.85 | ↓ -78% |
| Multiplan | PPO (Includes Workers' Comp) | $1,955.85 | ↓ -78% |
| Private Health Care Systems | PPO | $1,955.85 | ↓ -78% |
| UPMC Health Plan | Commercial | $7,728.60 | ↓ -12% |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Trauma partial team response w/critical care services level 4 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,463.40 | $1,180.62 – $1,387.63 |
| UPMC Mercy | Pittsburgh | $8,257.80 | $1,051.57 – $1,387.63 |
| UPMC Presbyterian | Pittsburgh | $9,021.00 | $842.93 – $8,611.09 |
| UPMC Altoona | Altoona | $6,448.80 | $1,286.46 – $6,455.20 |
| UPMC Hamot | Erie | $7,141.80 | $1,455.91 – $1,572.38 |
| UPMC Muncy | Muncy | $6,141.60 | $899.12 – $899.12 |
| UPMC Wellsboro | Wellsboro | $7,799.20 | $899.12 – $899.12 |
| UPMC Williamsport | Williamsport | $6,448.80 | $899.12 – $1,362.40 |