healthcosts.net
Trg gene rearrangement anal at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,181.40
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.
?
What you pay up front if you don't use insurance.
$1,969.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$187.25 with UPMC Health Plan vs $1,196.17 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Health Plan | Managed Medicare | $187.25 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $199.14 | ↓ -83% |
| Health Plan of Upper Ohio Valley | Medicaid | $201.50 | ↓ -83% |
| Health Plan of Upper Ohio Valley | Medicare | $201.50 | ↓ -83% |
| Aetna of PA | Medicare | $211.57 | ↓ -82% |
| United Healthcare | Unison Advantage Non Special Needs | $211.57 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $217.60 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $217.62 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $217.62 | ↓ -82% |
| Aetna | Medicare | $221.65 | ↓ -81% |
| United Healthcare | Unison Advantage Special Needs | $221.65 | ↓ -81% |
| Private Health Care Systems | Workers' Comp | $231.56 | ↓ -80% |
| Cigna | New Business ASO | $251.94 | ↓ -79% |
| UPMC Health Plan | Commercial | $254.95 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $257.16 | ↓ -78% |
| Cigna | Commercial | $296.40 | ↓ -75% |
| Health Plan of Upper Ohio Valley | Commercial | $342.34 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $407.55 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $446.57 | ↓ -62% |
| Coventry/First Health | Commercial | $518.70 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $598.08 | ↓ -49% |
| InterGroup | PPO | $615.03 | ↓ -48% |
| Humana | Commercial | $629.85 | ↓ -47% |
| Multiplan | PPO (Includes Workers' Comp) | $629.85 | ↓ -47% |
| Private Health Care Systems | PPO | $629.85 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $713.75 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $955.91 | ↓ -19% |
| Highmark BCBS of PA | UPMC Emergent | $1,196.17 | ↑ +1% |
Visitor-reported prices
Comments
Trg gene rearrangement anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,114.80 | $167.97 – $1,671.30 |
| UPMC Presbyterian | Pittsburgh | $1,671.60 | $93.96 – $443.70 |
| UPMC St. Margaret | Pittsburgh | $1,114.20 | $173.98 – $592.45 |
| UPMC Northwest | Seneca | $1,051.20 | $182.74 – $443.70 |
| UPMC Wellsboro | Wellsboro | $636.00 | $143.10 – $715.50 |
| UPMC Williamsport | Williamsport | $781.20 | $157.34 – $944.80 |