Sacituzumab govitecan-hziy 180 mg intravenous solution at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$5,043.00
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.
$8,405.00
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.
$22.24 with Highmark BCBS of PA vs $6,724.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $22.24 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $22.90 | ↓ -100% |
| United Healthcare | Compass Exchange | $35.44 | ↓ -99% |
| United Healthcare | All Business | $35.44 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $36.28 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $36.28 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.28 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.28 | ↓ -99% |
| UPMC Health Plan | CHIP | $39.54 | ↓ -99% |
| UPMC Health Plan | Commercial | $44.62 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $64.03 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $64.36 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $85.75 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $86.20 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $171.50 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $1,005.24 | ↓ -80% |
| Aetna | Medicare | $2,101.25 | ↓ -58% |
| Aetna | Neighborhood Network | $2,950.16 | ↓ -41% |
| Aetna | EBR FI | $3,193.90 | ↓ -37% |
| Aetna | Home Depot Employer Group | $3,210.71 | ↓ -36% |
| Aetna | NBR ASO/FI | $3,277.95 | ↓ -35% |
| Cigna | New Business ASO | $3,277.95 | ↓ -35% |
| Cigna | NBR ASO/FI | $3,277.95 | ↓ -35% |
| Aetna | EBR ASO | $3,362.00 | ↓ -33% |
| Cigna | Commercial | $3,362.00 | ↓ -33% |
| Cigna | EBR | $3,362.00 | ↓ -33% |
| InterGroup | PPO | $4,202.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,202.50 | ↓ -17% |
| Coventry/First Health | Commercial | $5,883.50 | ↑ +17% |
| Private Health Care Systems | PPO | $6,724.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sacituzumab govitecan-hziy 180 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,810.20 | $22.03 – $89.60 |
| UPMC Bedford | Everett | $5,043.00 | $13.09 – $106.20 |
| UPMC Carlisle | Carlisle | $1,441.80 | $35.92 – $2,042.55 |
| UPMC Cole | Coudersport | $6,258.00 | $36.28 – $8,344.00 |
| UPMC Community Osteopathic | Harrisburg | $1,441.80 | $35.92 – $2,042.55 |
| UPMC Hamot | Erie | $5,201.40 | $22.03 – $39.18 |
| UPMC Northwest | Seneca | $5,043.00 | $22.90 – $39.18 |
| UPMC Hanover | Hanover | $1,441.80 | $35.92 – $58.05 |