Eculizumab injection at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$62,315.40
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.
$103,859.00
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.
$224.16 with United Healthcare vs $83,087.20 with Private Health Care Systems — 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $224.16 | ↓ -100% |
| United Healthcare | All Business | $224.16 | ↓ -100% |
| UPMC Health Plan | CHIP | $261.88 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $355.97 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,025.04 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,030.30 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $1,372.75 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,379.86 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $2,745.49 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $12,421.54 | ↓ -80% |
| Aetna | Medicare | $25,964.75 | ↓ -58% |
| Aetna | Neighborhood Network | $36,454.51 | ↓ -41% |
| Aetna | EBR FI | $39,466.42 | ↓ -37% |
| Aetna | Home Depot Employer Group | $39,674.14 | ↓ -36% |
| Aetna | NBR ASO/FI | $40,505.01 | ↓ -35% |
| Cigna | NBR ASO/FI | $40,505.01 | ↓ -35% |
| Cigna | New Business ASO | $40,505.01 | ↓ -35% |
| Cigna | Commercial | $41,543.60 | ↓ -33% |
| Aetna | EBR ASO | $41,543.60 | ↓ -33% |
| Cigna | EBR | $41,543.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $50,942.84 | ↓ -18% |
| InterGroup | PPO | $51,929.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $51,929.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $57,122.45 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $57,122.45 | ↓ -8% |
| Coventry/First Health | Commercial | $72,701.30 | ↑ +17% |
| Private Health Care Systems | PPO | $83,087.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Eculizumab injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $42,307.80 | $224.05 – $614.44 |
| UPMC Magee | Pittsburgh | $38,703.60 | $250.85 – $355.97 |
| UPMC Presbyterian | Pittsburgh | $62,017.80 | $355.97 – $355.97 |
| UPMC Wellsboro | Wellsboro | $30,211.20 | not published |