Crizanlizumab-tmca 10 mg/ml intravenous solution at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$284.40
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.
$474.00
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.
$81.75 with UPMC Health Plan vs $511.25 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $81.75 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $101.26 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $120.02 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $129.48 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $129.48 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $129.48 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $131.06 | ↓ -54% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $132.82 | ↓ -53% |
| Aetna of PA | Medicare | $135.95 | ↓ -52% |
| AmeriHealth Caritas | Medicare | $139.84 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $139.84 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $139.84 | ↓ -51% |
| Aetna | Medicare | $142.43 | ↓ -50% |
| UPMC Health Plan | CHIP | $147.49 | ↓ -48% |
| UPMC Health Plan | Commercial | $159.26 | ↓ -44% |
| Aetna | Neighborhood Network | $164.48 | ↓ -42% |
| Aetna | Home Depot Employer Group | $178.70 | ↓ -37% |
| Aetna | EBR FI | $180.12 | ↓ -37% |
| Aetna | NBR ASO/FI | $182.49 | ↓ -36% |
| Cigna | New Business ASO | $182.49 | ↓ -36% |
| Aetna | EBR ASO | $189.60 | ↓ -33% |
| Cigna | Commercial | $189.60 | ↓ -33% |
| InterGroup | PPO | $237.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $284.40 | ↑ +0% |
| Coventry/First Health | Commercial | $331.80 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $378.71 | ↑ +33% |
| Private Health Care Systems | PPO | $379.20 | ↑ +33% |
| SelectCare | Commercial | $379.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $381.74 | ↑ +34% |
| Humana | Commercial | $402.90 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $507.20 | ↑ +78% |
| Highmark BCBS of PA | Commercial - Indemnity | $511.25 | ↑ +80% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Crizanlizumab-tmca 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $379.20 | $81.75 – $242.97 |
| UPMC Magee | Pittsburgh | $436.20 | $81.75 – $139.84 |
| UPMC Passavant-McCandless | Pittsburgh | $436.20 | $81.75 – $142.43 |
| UPMC Presbyterian | Pittsburgh | $8,721.00 | $81.75 – $142.43 |
| UPMC Wellsboro | Wellsboro | $272.40 | $129.48 – $142.43 |
| UPMC Western Psychiatric | Pittsburgh | $436.20 | $99.22 – $142.43 |