Pemetrexed disodium 100 mg intravenous powder for solution at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$635.20
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.
$794.00
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.
$2.75 with UPMC Health Plan vs $449.67 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 | $2.75 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $4.36 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.36 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $4.36 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.36 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $4.37 | ↓ -99% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.45 | ↓ -99% |
| United Healthcare | Unison Advantage Non Special Needs | $4.58 | ↓ -99% |
| Aetna of PA | Medicare | $4.58 | ↓ -99% |
| United Healthcare | Medicare | $4.67 | ↓ -99% |
| Cigna | Medicare | $4.71 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.71 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $4.71 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.71 | ↓ -99% |
| United Healthcare | Unison Advantage Special Needs | $4.80 | ↓ -99% |
| Aetna | Medicare | $4.80 | ↓ -99% |
| UPMC Health Plan | CHIP | $5.07 | ↓ -99% |
| United Healthcare | All Business | $5.27 | ↓ -99% |
| United Healthcare | Compass Exchange | $5.27 | ↓ -99% |
| UPMC Health Plan | Commercial | $5.36 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $30.74 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $86.90 | ↓ -86% |
| Aetna | Neighborhood Network | $90.21 | ↓ -86% |
| Aetna | EBR FI | $97.66 | ↓ -85% |
| Aetna | Home Depot Employer Group | $98.17 | ↓ -85% |
| Aetna | NBR ASO/FI | $100.23 | ↓ -84% |
| Cigna | NBR ASO/FI | $100.23 | ↓ -84% |
| Cigna | New Business ASO | $100.23 | ↓ -84% |
| Cigna | Commercial | $102.80 | ↓ -84% |
| Cigna | EBR | $102.80 | ↓ -84% |
| Aetna | EBR ASO | $102.80 | ↓ -84% |
| InterGroup | PPO | $128.50 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $167.89 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $168.75 | ↓ -73% |
| Coventry/First Health | Commercial | $179.90 | ↓ -72% |
| Private Health Care Systems | PPO | $205.60 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $224.83 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Indemnity | $226.00 | ↓ -64% |
| Highmark BCBS of PA | UPMC Emergent | $449.67 | ↓ -29% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pemetrexed disodium 100 mg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,827.60 | $2.75 – $244.00 |
| UPMC Carlisle | Carlisle | $2,425.80 | $4.11 – $25.50 |
| UPMC Cole | Coudersport | $10,066.80 | $4.36 – $2,684.00 |
| UPMC Community Osteopathic | Harrisburg | $2,425.80 | $4.32 – $25.50 |
| UPMC Hamot | Erie | $1,474.20 | $2.75 – $46.98 |
| UPMC Northwest | Seneca | $379.20 | $2.75 – $4.71 |
| UPMC Hanover | Hanover | $2,425.80 | $4.32 – $6.98 |
| UPMC Horizon-Greenville | Greenville | $274.80 | $2.75 – $8.18 |