Octreotide,microspheres ER 20 mg intramuscular susp, extended release at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$636.00
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.
$797.00
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.
$128.54 with UPMC Health Plan vs $4,888.09 with United Healthcare Community Plan for Families — 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 | $128.54 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $173.91 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $188.70 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $203.58 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $203.58 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $203.58 | ↓ -68% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $208.83 | ↓ -67% |
| Aetna of PA | Medicare | $213.76 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $219.82 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $219.87 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $219.87 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $219.87 | ↓ -65% |
| Aetna | Medicare | $223.94 | ↓ -65% |
| UPMC Health Plan | CHIP | $244.64 | ↓ -62% |
| UPMC Health Plan | Commercial | $250.41 | ↓ -61% |
| Aetna | Neighborhood Network | $275.87 | ↓ -57% |
| Aetna | Home Depot Employer Group | $299.71 | ↓ -53% |
| Aetna | EBR FI | $302.10 | ↓ -53% |
| Aetna | NBR ASO/FI | $306.07 | ↓ -52% |
| Cigna | New Business ASO | $306.07 | ↓ -52% |
| Cigna | Commercial | $318.00 | ↓ -50% |
| Aetna | EBR ASO | $318.00 | ↓ -50% |
| InterGroup | PPO | $397.50 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $460.33 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $464.02 | ↓ -27% |
| Cigna Behavioral Health | Commercial | $477.00 | ↓ -25% |
| Coventry/First Health | Commercial | $556.50 | ↓ -13% |
| Highmark BCBS of PA | Managed Care | $616.52 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Indemnity | $621.45 | ↓ -2% |
| SelectCare | Commercial | $636.00 | ↑ +0% |
| Private Health Care Systems | PPO | $636.00 | ↑ +0% |
| Humana | Commercial | $675.75 | ↑ +6% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $4,888.09 | ↑ +669% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Octreotide,microspheres ER 20 mg intramuscular susp, extended release at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14,573.40 | $128.54 – $4,443.72 |
| UPMC Carlisle | Carlisle | $4,066.20 | $201.54 – $4,443.72 |
| UPMC Cole | Coudersport | $5,855.40 | $203.58 – $7,807.20 |
| UPMC Community Osteopathic | Harrisburg | $4,066.20 | $201.54 – $4,443.72 |
| UPMC Hamot | Erie | $8,956.80 | $128.54 – $5,110.28 |
| UPMC Northwest | Seneca | $571.20 | $128.54 – $4,665.91 |
| UPMC Hanover | Hanover | $4,066.20 | $201.54 – $4,443.72 |
| UPMC Horizon-Greenville | Greenville | $729.60 | $128.54 – $6,674.88 |