Mitomycin 40 mg intravenous solution at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$866.40
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.
?
What you pay up front if you don't use insurance.
$1,083.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.85 with UPMC Health Plan vs $1,324.98 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.85 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.35 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $20.35 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $20.35 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.35 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $20.40 | ↓ -98% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $20.79 | ↓ -98% |
| Aetna of PA | Medicare | $21.37 | ↓ -98% |
| United Healthcare | Unison Advantage Non Special Needs | $21.37 | ↓ -98% |
| United Healthcare | Medicare | $21.77 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $21.98 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.98 | ↓ -97% |
| Cigna | Medicare | $21.98 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.98 | ↓ -97% |
| Aetna | Medicare | $22.39 | ↓ -97% |
| United Healthcare | Unison Advantage Special Needs | $22.39 | ↓ -97% |
| UPMC Health Plan | Commercial | $25.03 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $33.25 | ↓ -96% |
| United Healthcare | Compass Exchange | $46.35 | ↓ -95% |
| United Healthcare | All Business | $46.35 | ↓ -95% |
| UPMC Health Plan | CHIP | $73.51 | ↓ -92% |
| Aetna | Neighborhood Network | $97.58 | ↓ -89% |
| Aetna | EBR FI | $105.64 | ↓ -88% |
| Aetna | Home Depot Employer Group | $106.20 | ↓ -88% |
| Cigna | New Business ASO | $108.42 | ↓ -87% |
| Cigna | NBR ASO/FI | $108.42 | ↓ -87% |
| Aetna | NBR ASO/FI | $108.42 | ↓ -87% |
| Cigna | EBR | $111.20 | ↓ -87% |
| Cigna | Commercial | $111.20 | ↓ -87% |
| Aetna | EBR ASO | $111.20 | ↓ -87% |
| InterGroup | PPO | $139.00 | ↓ -84% |
| Coventry/First Health | Commercial | $194.60 | ↓ -78% |
| Private Health Care Systems | PPO | $222.40 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $313.32 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $494.69 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $497.23 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $662.49 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $665.93 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $1,324.98 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Mitomycin 40 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $426.40 | $12.85 – $310.36 |
| UPMC Bedford | Everett | $222.40 | $7.34 – $250.20 |
| UPMC Carlisle | Carlisle | $758.40 | $1.51 – $32.56 |
| UPMC Cole | Coudersport | $3,525.00 | $20.35 – $2,349.60 |
| UPMC Community Osteopathic | Harrisburg | $758.40 | $2.20 – $25.03 |
| UPMC Hamot | Erie | $1,036.80 | $12.85 – $180.11 |
| UPMC Northwest | Seneca | $1,169.60 | $12.85 – $21.98 |
| UPMC Hanover | Hanover | $758.40 | $20.15 – $32.56 |