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Warde 1005020 citrate 24 hour urine at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$469.20
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.
$782.00
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.
$25.83 with UPMC Health Plan vs $252.26 with Highmark BCBS of PA — 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 | Managed Medicare | $25.83 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $27.47 | ↓ -94% |
| Health Plan of Upper Ohio Valley | Medicaid | $27.80 | ↓ -94% |
| Health Plan of Upper Ohio Valley | Medicare | $27.80 | ↓ -94% |
| Aetna of PA | Medicare | $29.19 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $29.19 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $30.02 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.02 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.02 | ↓ -94% |
| Aetna | Medicare | $30.58 | ↓ -93% |
| United Healthcare | Unison Advantage Special Needs | $30.58 | ↓ -93% |
| Private Health Care Systems | Workers' Comp | $31.94 | ↓ -93% |
| UPMC Health Plan | Commercial | $40.58 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $54.23 | ↓ -88% |
| Cigna | New Business ASO | $58.14 | ↓ -88% |
| Cigna | Commercial | $68.40 | ↓ -85% |
| Health Plan of Upper Ohio Valley | Commercial | $79.00 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $94.05 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $94.18 | ↓ -80% |
| Coventry/First Health | Commercial | $119.70 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $126.13 | ↓ -73% |
| InterGroup | PPO | $141.93 | ↓ -70% |
| Humana | Commercial | $145.35 | ↓ -69% |
| Multiplan | PPO (Includes Workers' Comp) | $145.35 | ↓ -69% |
| Private Health Care Systems | PPO | $145.35 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $150.52 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity | $201.59 | ↓ -57% |
| Highmark BCBS of PA | UPMC Emergent | $252.26 | ↓ -46% |
Visitor-reported prices
Comments
Warde 1005020 citrate 24 hour urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $210.60 | $23.17 – $315.90 |
| UPMC Presbyterian | Pittsburgh | $720.00 | $20.35 – $1,020.00 |
| UPMC St. Margaret | Pittsburgh | $244.80 | $24.00 – $346.80 |
| UPMC Muncy | Muncy | $243.00 | $21.71 – $324.00 |
| UPMC Northwest | Seneca | $110.40 | $25.21 – $156.40 |
| UPMC Somerset | Somerset | $141.60 | $19.50 – $144.75 |
| UPMC Wellsboro | Wellsboro | $294.40 | $14.22 – $71.10 |
| UPMC Williamsport | Williamsport | $52.20 | $21.71 – $66.40 |