Vutrisiran 25 mg/0.5 ml subcutaneous syringe at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$9,373.80
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.
$15,623.00
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.
$2,126.09 with Highmark BCBS of PA vs $13,279.55 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 | $2,126.09 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $3,159.30 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $4,319.76 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $4,637.87 | ↓ -51% |
| Geisinger | Medicaid/CHIP | $5,003.64 | ↓ -47% |
| PA Health & Wellness | PA Medicaid HMO | $5,003.64 | ↓ -47% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,003.64 | ↓ -47% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,132.73 | ↓ -45% |
| Aetna of PA | Medicare | $5,253.82 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,403.93 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,403.93 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $5,403.93 | ↓ -42% |
| Aetna | Neighborhood Network | $5,421.18 | ↓ -42% |
| Aetna | Medicare | $5,504.00 | ↓ -41% |
| UPMC Health Plan | CHIP | $5,740.83 | ↓ -39% |
| Aetna | Home Depot Employer Group | $5,889.87 | ↓ -37% |
| Aetna | EBR FI | $5,936.74 | ↓ -37% |
| Aetna | NBR ASO/FI | $6,014.85 | ↓ -36% |
| Cigna | New Business ASO | $6,014.85 | ↓ -36% |
| UPMC Health Plan | Commercial | $6,154.48 | ↓ -34% |
| Cigna | Commercial | $6,249.20 | ↓ -33% |
| Aetna | EBR ASO | $6,249.20 | ↓ -33% |
| InterGroup | PPO | $7,811.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,951.80 | ↓ -15% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,015.48 | ↓ -14% |
| Cigna Behavioral Health | Commercial | $9,373.80 | ↑ +0% |
| Highmark BCBS of PA | Managed Care | $10,649.84 | ↑ +14% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,734.93 | ↑ +15% |
| Coventry/First Health | Commercial | $10,936.10 | ↑ +17% |
| SelectCare | Commercial | $12,498.40 | ↑ +33% |
| Private Health Care Systems | PPO | $12,498.40 | ↑ +33% |
| Humana | Commercial | $13,279.55 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Vutrisiran 25 mg/0.5 ml subcutaneous syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $9,373.80 | $1,805.31 – $14,060.70 |
| UPMC Carlisle | Carlisle | $143,221.20 | $4,953.60 – $202,896.70 |
| UPMC Community Osteopathic | Harrisburg | $143,221.20 | $3,506.67 – $202,896.70 |
| UPMC Northwest | Seneca | $9,373.80 | $3,159.30 – $5,403.93 |
| UPMC Hanover | Hanover | $143,221.20 | $4,953.60 – $8,005.82 |
| UPMC Lititz | Lititz | $143,221.20 | $4,953.60 – $8,005.82 |
| UPMC Magee | Pittsburgh | $13,248.60 | $2,126.09 – $5,403.93 |
| UPMC Memorial | York | $143,221.20 | $1,716.51 – $8,005.82 |