Alteplase 100 mg infusion from pyxis vial at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$288.80
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.
$363.00
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.
$43.18 with UPMC Work Partners vs $378.17 with Highmark BCBS of PA — 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 Work Partners | Workers Comp | $43.18 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $49.03 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $59.63 | ↓ -79% |
| United Healthcare | All Business | $91.48 | ↓ -68% |
| United Healthcare | Compass Exchange | $91.48 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $94.45 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $94.45 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $94.45 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.45 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $94.71 | ↓ -67% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $96.49 | ↓ -67% |
| United Healthcare | Unison Advantage Non Special Needs | $99.17 | ↓ -66% |
| Aetna of PA | Medicare | $99.17 | ↓ -66% |
| United Healthcare | Medicare | $101.06 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $102.00 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $102.01 | ↓ -65% |
| Cigna | Medicare | $102.01 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $102.01 | ↓ -65% |
| UPMC Health Plan | CHIP | $103.24 | ↓ -64% |
| Aetna | Medicare | $103.89 | ↓ -64% |
| United Healthcare | Unison Advantage Special Needs | $103.89 | ↓ -64% |
| UPMC Health Plan | Commercial | $116.17 | ↓ -60% |
| Aetna | Neighborhood Network | $126.71 | ↓ -56% |
| Aetna | EBR FI | $137.18 | ↓ -53% |
| Aetna | Home Depot Employer Group | $137.90 | ↓ -52% |
| Cigna | New Business ASO | $140.79 | ↓ -51% |
| Cigna | NBR ASO/FI | $140.79 | ↓ -51% |
| Aetna | NBR ASO/FI | $140.79 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $141.19 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $141.92 | ↓ -51% |
| Cigna | Commercial | $144.40 | ↓ -50% |
| Aetna | EBR ASO | $144.40 | ↓ -50% |
| Cigna | EBR | $144.40 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $177.50 | ↓ -39% |
| InterGroup | PPO | $180.50 | ↓ -38% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $186.38 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $189.09 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity | $190.07 | ↓ -34% |
| United Healthcare Community Plan for Families | Unison Kids | $204.13 | ↓ -29% |
| Coventry/First Health | Commercial | $252.70 | ↓ -13% |
| Private Health Care Systems | PPO | $288.80 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $378.17 | ↑ +31% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,280.00 | $12.06 – $177.50 |
| UPMC Cole | Coudersport | $5,517.60 | $37.70 – $108.80 |
| UPMC Community Osteopathic | Harrisburg | $5,280.00 | $17.60 – $177.50 |
| UPMC Hanover | Hanover | $5,280.00 | $93.51 – $177.50 |
| UPMC Kane | Kane | $19,391.40 | $94.45 – $150.94 |
| UPMC Lititz | Lititz | $5,280.00 | $93.51 – $177.50 |
| UPMC Magee | Pittsburgh | $22,001.40 | $49.03 – $195.25 |
| UPMC Memorial | York | $5,280.00 | $39.59 – $177.50 |