Pralatrexate injection at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$788.00
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.
$985.00
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.
$117.81 with UPMC Work Partners vs $1,662.20 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 | $117.81 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $247.91 | ↓ -69% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $334.26 | ↓ -58% |
| United Healthcare | Compass Exchange | $334.90 | ↓ -58% |
| UPMC Health Plan | CHIP | $335.51 | ↓ -57% |
| Aetna | Neighborhood Network | $345.74 | ↓ -56% |
| United Healthcare | All Business | $373.77 | ↓ -53% |
| Aetna | EBR FI | $374.30 | ↓ -53% |
| Aetna | Home Depot Employer Group | $376.27 | ↓ -52% |
| Cigna | NBR ASO/FI | $384.15 | ↓ -51% |
| Cigna | New Business ASO | $384.15 | ↓ -51% |
| Aetna | NBR ASO/FI | $384.15 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $392.63 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $392.63 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $392.63 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $392.63 | ↓ -50% |
| UPMC Health Plan | Managed Medicare | $393.69 | ↓ -50% |
| Aetna | EBR ASO | $394.00 | ↓ -50% |
| Cigna | Commercial | $394.00 | ↓ -50% |
| Cigna | EBR | $394.00 | ↓ -50% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $401.11 | ↓ -49% |
| United Healthcare | Unison Advantage Non Special Needs | $412.26 | ↓ -48% |
| Aetna of PA | Medicare | $412.26 | ↓ -48% |
| United Healthcare | Medicare | $420.11 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $424.00 | ↓ -46% |
| Cigna | Medicare | $424.04 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $424.04 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $424.04 | ↓ -46% |
| United Healthcare | Unison Advantage Special Needs | $431.89 | ↓ -45% |
| Aetna | Medicare | $431.89 | ↓ -45% |
| UPMC Health Plan | Commercial | $482.93 | ↓ -39% |
| InterGroup | PPO | $492.50 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $620.59 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $623.77 | ↓ -21% |
| Coventry/First Health | Commercial | $689.50 | ↓ -13% |
| Private Health Care Systems | PPO | $788.00 | ↑ +0% |
| Highmark BCBS of PA | Managed Care | $831.10 | ↑ +5% |
| Highmark BCBS of PA | Commercial - Indemnity | $835.41 | ↑ +6% |
| Highmark BCBS of PA | UPMC Emergent | $1,662.20 | ↑ +111% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pralatrexate injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,072.20 | $388.70 – $4,233.85 |
| UPMC Community Osteopathic | Harrisburg | $4,072.20 | $388.70 – $4,233.85 |
| UPMC Hanover | Hanover | $4,072.20 | $388.70 – $628.21 |
| UPMC Lititz | Lititz | $4,072.20 | $388.70 – $628.21 |
| UPMC McKeesport | Mckeesport | $786.00 | $247.91 – $431.89 |
| UPMC Memorial | York | $4,072.20 | $269.87 – $628.21 |
| UPMC Presbyterian | Pittsburgh | $33,372.00 | $247.91 – $431.89 |
| UPMC Somerset | Somerset | $4,072.20 | $327.76 – $392.63 |