Injection, caplacizumab-yhdp at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$19,956.00
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.
$33,260.00
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.
$321.84 with UPMC Work Partners vs $2,979.37 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 | $321.84 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $386.30 | ↓ -98% |
| Aetna | Medicare | $672.75 | ↓ -97% |
| United Healthcare | Compass Exchange | $914.94 | ↓ -95% |
| UPMC Health Plan | CHIP | $941.85 | ↓ -95% |
| Aetna | Neighborhood Network | $944.54 | ↓ -95% |
| Aetna | EBR FI | $1,022.58 | ↓ -95% |
| Aetna | Home Depot Employer Group | $1,027.96 | ↓ -95% |
| Cigna | NBR ASO/FI | $1,049.49 | ↓ -95% |
| Cigna | New Business ASO | $1,049.49 | ↓ -95% |
| Aetna | NBR ASO/FI | $1,049.49 | ↓ -95% |
| Aetna | EBR ASO | $1,076.40 | ↓ -95% |
| United Healthcare | All Business | $1,076.40 | ↓ -95% |
| Cigna | Commercial | $1,076.40 | ↓ -95% |
| Cigna | EBR | $1,076.40 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,112.36 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,118.07 | ↓ -94% |
| UPMC Health Plan | Commercial | $1,319.94 | ↓ -93% |
| InterGroup | PPO | $1,345.50 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,345.50 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $1,480.05 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $1,480.05 | ↓ -93% |
| Highmark BCBS of PA | Managed Care | $1,489.69 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,497.41 | ↓ -92% |
| Coventry/First Health | Commercial | $1,883.70 | ↓ -91% |
| Private Health Care Systems | PPO | $2,152.80 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $2,979.37 | ↓ -85% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Injection, caplacizumab-yhdp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $18,673.20 | $382.65 – $24,897.60 |
| UPMC Bedford | Everett | $19,956.00 | $1,061.15 – $29,934.00 |
| UPMC Hamot | Erie | $20,647.20 | $382.65 – $2,023.77 |
| UPMC Northwest | Seneca | $19,956.00 | $993.13 – $993.13 |
| UPMC Horizon-Greenville | Greenville | $19,956.00 | $975.22 – $975.22 |
| UPMC Jameson | New Castle | $19,956.00 | $389.40 – $794.83 |
| UPMC Magee | Pittsburgh | $18,826.20 | $386.30 – $808.36 |
| UPMC McKeesport | Mckeesport | $19,956.00 | $386.30 – $874.31 |