Gemcitabine 1 gram intravenous solution at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,528.00
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.
$2,289.00
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.
$1.98 with UPMC Health Plan vs $1,547.85 with Humana — 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 | $1.98 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $3.13 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $3.13 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.13 | ↓ -100% |
| Aetna | Medicare | $3.48 | ↓ -100% |
| UPMC Health Plan | Commercial | $3.85 | ↓ -100% |
| UPMC Health Plan | CHIP | $4.24 | ↓ -100% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.00 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $242.99 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $484.12 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $488.00 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $503.51 | ↓ -67% |
| Aetna | Neighborhood Network | $631.89 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $648.38 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $653.56 | ↓ -57% |
| Aetna | Home Depot Employer Group | $686.52 | ↓ -55% |
| Aetna | EBR FI | $691.98 | ↓ -55% |
| Cigna | New Business ASO | $701.09 | ↓ -54% |
| Aetna | NBR ASO/FI | $701.09 | ↓ -54% |
| Aetna | EBR ASO | $728.40 | ↓ -52% |
| Cigna | Commercial | $728.40 | ↓ -52% |
| InterGroup | PPO | $910.50 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $910.50 | ↓ -40% |
| Cigna Behavioral Health | Commercial | $1,092.60 | ↓ -28% |
| Coventry/First Health | Commercial | $1,274.70 | ↓ -17% |
| SelectCare | Commercial | $1,456.80 | ↓ -5% |
| Private Health Care Systems | PPO | $1,456.80 | ↓ -5% |
| Humana | Commercial | $1,547.85 | ↑ +1% |
Visitor-reported prices
Comments
Gemcitabine 1 gram intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,028.80 | $1.98 – $355.57 |
| UPMC Cole | Coudersport | $320.40 | $3.13 – $30.40 |
| UPMC East | Monroeville | $500.40 | $1.98 – $242.99 |
| UPMC Hamot | Erie | $804.60 | $1.98 – $24.00 |
| UPMC Northwest | Seneca | $1,180.80 | $1.98 – $332.78 |
| UPMC Horizon-Greenville | Greenville | $779.40 | $1.98 – $326.78 |
| UPMC Jameson | New Castle | $281.40 | $1.98 – $244.94 |
| UPMC Muncy | Muncy | $365.40 | $3.13 – $3.44 |