Agalsidase beta 35 mg intravenous solution at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,000.80
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.
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What you pay up front if you don't use insurance.
$1,251.00
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.
$145.32 with UPMC Health Plan vs $1,233.98 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 Medicaid | $145.32 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $213.33 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $230.15 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $230.15 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $230.15 | ↓ -77% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $236.09 | ↓ -76% |
| Aetna of PA | Medicare | $241.66 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $244.40 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.56 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.56 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $248.56 | ↓ -75% |
| Aetna | Medicare | $253.16 | ↓ -75% |
| UPMC Health Plan | CHIP | $253.36 | ↓ -75% |
| UPMC Health Plan | Commercial | $283.09 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $345.90 | ↓ -65% |
| Aetna | Neighborhood Network | $434.10 | ↓ -57% |
| Aetna | Home Depot Employer Group | $471.63 | ↓ -53% |
| Aetna | EBR FI | $475.38 | ↓ -53% |
| Cigna | New Business ASO | $481.63 | ↓ -52% |
| Aetna | NBR ASO/FI | $481.63 | ↓ -52% |
| Cigna | Commercial | $500.40 | ↓ -50% |
| Aetna | EBR ASO | $500.40 | ↓ -50% |
| InterGroup | PPO | $625.50 | ↓ -38% |
| Cigna Behavioral Health | Commercial | $750.60 | ↓ -25% |
| Coventry/First Health | Commercial | $875.70 | ↓ -13% |
| Highmark BCBS of PA | Managed Care - Social Mission | $914.06 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $921.38 | ↓ -8% |
| Private Health Care Systems | PPO | $1,000.80 | ↑ +0% |
| SelectCare | Commercial | $1,000.80 | ↑ +0% |
| Humana | Commercial | $1,063.35 | ↑ +6% |
| Highmark BCBS of PA | Managed Care | $1,224.20 | ↑ +22% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,233.98 | ↑ +23% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Agalsidase beta 35 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,658.00 | $145.32 – $708.00 |
| UPMC Cole | Coudersport | $19,490.40 | $230.15 – $3,712.00 |
| UPMC East | Monroeville | $2,305.60 | $93.53 – $625.60 |
| UPMC Hamot | Erie | $2,346.00 | $145.32 – $248.56 |
| UPMC Magee | Pittsburgh | $19,481.40 | $145.32 – $248.56 |
| UPMC Mercy | Pittsburgh | $20,627.40 | $145.32 – $253.16 |
| UPMC Muncy | Muncy | $27,295.80 | $230.15 – $253.17 |
| UPMC Passavant-McCandless | Pittsburgh | $955.20 | $145.32 – $253.16 |