Unlisted procedure larynx at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$104.40
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.
$174.00
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.
$18.77 with Highmark BCBS of PA vs $243.53 with United Healthcare — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | ↓ -82% |
| UPMC Health Plan | Commercial | $27.71 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $41.78 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $52.08 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $55.95 | ↓ -46% |
| Cigna | New Business ASO | $59.16 | ↓ -43% |
| Cigna | Commercial | $69.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $69.75 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $80.39 | ↓ -23% |
| PA Health & Wellness | PA Medicaid HMO | $95.70 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $111.91 | ↑ +7% |
| Coventry/First Health | Commercial | $121.80 | ↑ +17% |
| InterGroup | PPO | $144.42 | ↑ +38% |
| Private Health Care Systems | PPO | $147.90 | ↑ +42% |
| Humana | Commercial | $147.90 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $147.90 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $205.74 | ↑ +97% |
| Health Plan of Upper Ohio Valley | Medicare | $221.39 | ↑ +112% |
| Health Plan of Upper Ohio Valley | Medicaid | $221.39 | ↑ +112% |
| Aetna of PA | Medicare | $232.46 | ↑ +123% |
| United Healthcare | Unison Advantage Non Special Needs | $232.46 | ↑ +123% |
| Highmark Wholecare (prev Gateway) | Medicare | $239.08 | ↑ +129% |
| AmeriHealth Caritas | Medicare | $239.10 | ↑ +129% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $239.10 | ↑ +129% |
| Aetna | Medicare | $243.53 | ↑ +133% |
| United Healthcare | Unison Advantage Special Needs | $243.53 | ↑ +133% |
| Tricare | East Region | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure larynx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $134.40 | $18.77 – $243.53 |
| UPMC Mercy | Pittsburgh | not published | $18.59 – $243.53 |
| Uniontown Hospital | Uniontown | $272.00 | $229.57 – $534.90 |
| UPMC Altoona | Altoona | not published | $18.59 – $239.10 |
| UPMC Community Osteopathic | Harrisburg | not published | $49.73 – $1,471.05 |
| UPMC Hamot | Erie | not published | $18.59 – $322.01 |