Pertuzumab 30 mg/ml desensitization at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$38.40
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.
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What you pay up front if you don't use insurance.
$64.00
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.
$8.24 with Highmark BCBS of PA vs $54.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8.24 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $10.74 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $15.78 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $17.02 | ↓ -56% |
| PA Health & Wellness | PA Medicaid HMO | $17.02 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.02 | ↓ -56% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17.46 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $17.70 | ↓ -54% |
| Aetna of PA | Medicare | $17.87 | ↓ -53% |
| UPMC Health Plan | CHIP | $17.90 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $18.38 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.38 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.38 | ↓ -52% |
| Aetna | Medicare | $18.72 | ↓ -51% |
| UPMC Health Plan | Commercial | $20.93 | ↓ -45% |
| Aetna | Neighborhood Network | $22.21 | ↓ -42% |
| Aetna | Home Depot Employer Group | $24.13 | ↓ -37% |
| Aetna | EBR FI | $24.32 | ↓ -37% |
| Cigna | New Business ASO | $24.64 | ↓ -36% |
| Aetna | NBR ASO/FI | $24.64 | ↓ -36% |
| Aetna | EBR ASO | $25.60 | ↓ -33% |
| Cigna | Commercial | $25.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $30.81 | ↓ -20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $31.06 | ↓ -19% |
| InterGroup | PPO | $32.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $38.40 | ↑ +0% |
| Highmark BCBS of PA | Managed Care | $41.26 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Indemnity | $41.59 | ↑ +8% |
| Coventry/First Health | Commercial | $44.80 | ↑ +17% |
| SelectCare | Commercial | $51.20 | ↑ +33% |
| Private Health Care Systems | PPO | $51.20 | ↑ +33% |
| Humana | Commercial | $54.40 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pertuzumab 30 mg/ml desensitization at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,054.80 | $8.16 – $34.40 |
| UPMC Cole | Coudersport | $13,307.40 | $17.02 – $17,743.20 |
| UPMC Hamot | Erie | $12,802.80 | $8.16 – $23.22 |
| UPMC Magee | Pittsburgh | $11,263.80 | $8.24 – $18.38 |
| UPMC Muncy | Muncy | $22,539.60 | $17.02 – $18.72 |
| UPMC Presbyterian | Pittsburgh | $18,274.80 | $8.24 – $18.72 |
| UPMC Wellsboro | Wellsboro | $22,539.60 | $17.02 – $18.72 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $11.45 – $35.47 |