Romiplostim 125 mcg subcutaneous solution at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$24.00
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.
$40.00
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.
$4.24 with Highmark BCBS of PA vs $34.00 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 | $4.24 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $6.95 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $10.21 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.01 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $11.01 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $11.01 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $11.06 | ↓ -54% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $11.29 | ↓ -53% |
| Aetna of PA | Medicare | $11.56 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.89 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $11.89 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.89 | ↓ -50% |
| Aetna | Medicare | $12.11 | ↓ -50% |
| UPMC Health Plan | Commercial | $13.55 | ↓ -44% |
| Aetna | Neighborhood Network | $13.88 | ↓ -42% |
| UPMC Health Plan | CHIP | $14.00 | ↓ -42% |
| Aetna | Home Depot Employer Group | $15.08 | ↓ -37% |
| Aetna | EBR FI | $15.20 | ↓ -37% |
| Cigna | New Business ASO | $15.40 | ↓ -36% |
| Aetna | NBR ASO/FI | $15.40 | ↓ -36% |
| Highmark BCBS of PA | Managed Care - Social Mission | $15.86 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $15.99 | ↓ -33% |
| Cigna | Commercial | $16.00 | ↓ -33% |
| Aetna | EBR ASO | $16.00 | ↓ -33% |
| InterGroup | PPO | $20.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $21.24 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $21.41 | ↓ -11% |
| Cigna Behavioral Health | Commercial | $24.00 | ↑ +0% |
| Coventry/First Health | Commercial | $28.00 | ↑ +17% |
| SelectCare | Commercial | $32.00 | ↑ +33% |
| Private Health Care Systems | PPO | $32.00 | ↑ +33% |
| Humana | Commercial | $34.00 | ↑ +42% |
Visitor-reported prices
Comments
Romiplostim 125 mcg subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,004.80 | $10.90 – $2,128.40 |
| UPMC Cole | Coudersport | $13,710.00 | $11.01 – $4,569.60 |
| UPMC Community Osteopathic | Harrisburg | $3,004.80 | $6.99 – $2,128.40 |
| UPMC Hanover | Hanover | $3,004.80 | $10.90 – $17.62 |
| UPMC Lititz | Lititz | $3,004.80 | $10.90 – $17.62 |
| UPMC Memorial | York | $3,004.80 | $3.42 – $17.62 |
| UPMC Somerset | Somerset | $3,004.80 | $4.16 – $11.01 |
| WellSpan Chambersburg Hospital | Chambersburg | $8,784.20 | $11.95 – $12,247.28 |