Unlisted px small intestine at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$2,995.80
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.
$4,993.00
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 $4,003.50 with Private Health Care Systems — 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 | ↓ -99% |
| UPMC Health Plan | Commercial | $27.81 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $41.78 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $52.08 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $55.95 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $69.75 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $111.91 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $830.65 | ↓ -72% |
| Health Plan of Upper Ohio Valley | Medicaid | $893.85 | ↓ -70% |
| Health Plan of Upper Ohio Valley | Medicare | $893.85 | ↓ -70% |
| United Healthcare | Unison Advantage Non Special Needs | $938.54 | ↓ -69% |
| Aetna of PA | Medicare | $938.54 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.27 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -68% |
| Aetna | Medicare | $983.24 | ↓ -67% |
| United Healthcare | Unison Advantage Special Needs | $983.24 | ↓ -67% |
| Cigna | New Business ASO | $1,601.40 | ↓ -47% |
| Cigna | Commercial | $1,884.00 | ↓ -37% |
| Health Plan of Upper Ohio Valley | Commercial | $2,176.02 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $2,590.50 | ↓ -14% |
| Coventry/First Health | Commercial | $3,297.00 | ↑ +10% |
| InterGroup | PPO | $3,909.30 | ↑ +30% |
| Humana | Commercial | $4,003.50 | ↑ +34% |
| Multiplan | PPO (Includes Workers' Comp) | $4,003.50 | ↑ +34% |
| Private Health Care Systems | PPO | $4,003.50 | ↑ +34% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px small intestine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $2,236.20 | $18.77 – $983.24 |
| UPMC Mercy | Pittsburgh | $2,511.60 | $18.59 – $983.24 |
| UPMC Presbyterian | Pittsburgh | $2,769.00 | $18.77 – $983.24 |
| UPMC St. Margaret | Pittsburgh | $2,744.40 | $18.77 – $983.24 |
| UPMC Altoona | Altoona | $2,283.60 | $18.59 – $3,044.80 |
| UPMC Bedford | Everett | $130.80 | $36.90 – $965.36 |
| UPMC East | Monroeville | $2,744.40 | $18.77 – $3,659.20 |
| UPMC Hamot | Erie | $2,640.60 | $18.59 – $1,300.05 |