Unlisted transfusion med px at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$306.00
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.
$510.00
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.
$6.76 with UPMC Health Plan vs $385.90 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 Health Plan | Commercial | $6.76 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.71 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $20.33 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $21.70 | ↓ -93% |
| Health Plan of Upper Ohio Valley | Medicaid | $23.35 | ↓ -92% |
| Health Plan of Upper Ohio Valley | Medicare | $23.35 | ↓ -92% |
| Aetna of PA | Medicare | $24.52 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $24.52 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $25.22 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $25.22 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.22 | ↓ -92% |
| Aetna | Medicare | $25.68 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $25.68 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $27.23 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $32.50 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity | $43.53 | ↓ -86% |
| Highmark BCBS of PA | UPMC Emergent | $54.47 | ↓ -82% |
| Cigna | New Business ASO | $154.36 | ↓ -50% |
| Cigna | Commercial | $181.60 | ↓ -41% |
| Health Plan of Upper Ohio Valley | Commercial | $209.75 | ↓ -31% |
| PA Health & Wellness | PA Medicaid HMO | $249.70 | ↓ -18% |
| Coventry/First Health | Commercial | $317.80 | ↑ +4% |
| InterGroup | PPO | $376.82 | ↑ +23% |
| Humana | Commercial | $385.90 | ↑ +26% |
| Multiplan | PPO (Includes Workers' Comp) | $385.90 | ↑ +26% |
| Private Health Care Systems | PPO | $385.90 | ↑ +26% |
| 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 transfusion med px at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $334.20 | $7.09 – $25.68 |
| UPMC Mercy | Pittsburgh | $39.60 | $6.72 – $25.68 |
| UPMC Carlisle | Carlisle | $32.40 | $7.40 – $45.90 |
| UPMC Community Osteopathic | Harrisburg | $32.40 | $10.80 – $45.90 |
| UPMC Hanover | Hanover | $32.40 | $19.95 – $37.44 |
| UPMC Horizon-Greenville | Greenville | $525.60 | $6.79 – $25.22 |
| UPMC Jameson | New Castle | $378.00 | $11.80 – $25.22 |
| UPMC Lititz | Lititz | $32.40 | $19.95 – $37.63 |