Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,189.60
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.
$1,487.00
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.
$67.14 with UPMC Health Plan vs $1,728.78 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 | $67.14 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $106.33 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $106.33 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $106.33 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $106.33 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $106.62 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $108.63 | ↓ -91% |
| Aetna of PA | Medicare | $111.65 | ↓ -91% |
| United Healthcare | Unison Advantage Non Special Needs | $111.65 | ↓ -91% |
| United Healthcare | Medicare | $113.77 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $114.83 | ↓ -90% |
| Cigna | Medicare | $114.84 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $114.84 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $114.84 | ↓ -90% |
| Aetna | Medicare | $116.96 | ↓ -90% |
| United Healthcare | Unison Advantage Special Needs | $116.96 | ↓ -90% |
| UPMC Health Plan | Commercial | $130.79 | ↓ -89% |
| United Healthcare | Compass Exchange | $135.55 | ↓ -89% |
| United Healthcare | All Business | $135.55 | ↓ -89% |
| UPMC Health Plan | CHIP | $141.69 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $177.85 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $224.15 | ↓ -81% |
| Aetna | Neighborhood Network | $521.94 | ↓ -56% |
| Aetna | EBR FI | $565.06 | ↓ -53% |
| Aetna | Home Depot Employer Group | $568.03 | ↓ -52% |
| Cigna | NBR ASO/FI | $579.93 | ↓ -51% |
| Aetna | NBR ASO/FI | $579.93 | ↓ -51% |
| Cigna | New Business ASO | $579.93 | ↓ -51% |
| Cigna | EBR | $594.80 | ↓ -50% |
| Cigna | Commercial | $594.80 | ↓ -50% |
| Aetna | EBR ASO | $594.80 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $645.45 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $648.76 | ↓ -45% |
| InterGroup | PPO | $743.50 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $864.39 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $868.87 | ↓ -27% |
| Coventry/First Health | Commercial | $1,040.90 | ↓ -13% |
| Private Health Care Systems | PPO | $1,189.60 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $1,728.78 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,014.00 | $67.14 – $1,088.80 |
| UPMC Bedford | Everett | $10,699.80 | $38.36 – $1,338.30 |
| UPMC Carlisle | Carlisle | $4,174.80 | $105.27 – $5,914.30 |
| UPMC Cole | Coudersport | $10,395.60 | $106.33 – $13,860.80 |
| UPMC Community Osteopathic | Harrisburg | $4,174.80 | $105.27 – $5,914.30 |
| UPMC Hamot | Erie | $1,260.00 | $67.14 – $222.03 |
| UPMC Northwest | Seneca | $10,699.80 | $67.14 – $114.84 |
| UPMC Hanover | Hanover | $4,174.80 | $105.27 – $170.13 |