Eculizumab 300 mg/30 ml intravenous solution at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$553.60
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.
$692.00
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.
$28.30 with UPMC Health Plan vs $775.04 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 Health Plan | Managed Medicaid | $28.30 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $44.82 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $44.82 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.82 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.82 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $44.94 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $45.79 | ↓ -92% |
| Aetna of PA | Medicare | $47.06 | ↓ -91% |
| United Healthcare | Unison Advantage Non Special Needs | $47.06 | ↓ -91% |
| United Healthcare | Medicare | $47.96 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $48.40 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $48.41 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $48.41 | ↓ -91% |
| Cigna | Medicare | $48.41 | ↓ -91% |
| Aetna | Medicare | $49.30 | ↓ -91% |
| United Healthcare | Unison Advantage Special Needs | $49.30 | ↓ -91% |
| UPMC Health Plan | Commercial | $55.13 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $82.76 | ↓ -85% |
| United Healthcare | Compass Exchange | $228.36 | ↓ -59% |
| UPMC Health Plan | CHIP | $242.20 | ↓ -56% |
| Aetna | Neighborhood Network | $242.89 | ↓ -56% |
| Aetna | EBR FI | $262.96 | ↓ -53% |
| Aetna | Home Depot Employer Group | $264.34 | ↓ -52% |
| United Healthcare | All Business | $269.88 | ↓ -51% |
| Cigna | NBR ASO/FI | $269.88 | ↓ -51% |
| Cigna | New Business ASO | $269.88 | ↓ -51% |
| Aetna | NBR ASO/FI | $269.88 | ↓ -51% |
| Aetna | EBR ASO | $276.80 | ↓ -50% |
| Cigna | Commercial | $276.80 | ↓ -50% |
| Cigna | EBR | $276.80 | ↓ -50% |
| InterGroup | PPO | $346.00 | ↓ -38% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $346.00 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $387.52 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $387.52 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $394.44 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity | $394.44 | ↓ -29% |
| Coventry/First Health | Commercial | $484.40 | ↓ -13% |
| Private Health Care Systems | PPO | $553.60 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $775.04 | ↑ +40% |
Visitor-reported prices
Comments
Eculizumab 300 mg/30 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $16,242.00 | $44.82 – $21,656.00 |