Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$963.60
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.
$1,606.00
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.
$137.28 with United Healthcare Community Plan for Families vs $2,008.34 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $137.28 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $137.28 | ↓ -86% |
| Aetna | CHIP/Medicaid | $162.24 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $185.08 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $194.28 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $197.48 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $212.68 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $262.85 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $293.92 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $295.96 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $324.39 | ↓ -66% |
| Aetna of PA | Medicare | $332.04 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $341.50 | ↓ -65% |
| United Healthcare | Medicare | $341.53 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $341.53 | ↓ -65% |
| Aetna | Medicare | $347.85 | ↓ -64% |
| UPMC Health Plan | CHIP | $392.11 | ↓ -59% |
| Aetna | Neighborhood Network | $578.16 | ↓ -40% |
| UPMC Health Plan | Commercial | $605.75 | ↓ -37% |
| Aetna | EBR FI | $626.34 | ↓ -35% |
| Aetna | Home Depot Employer Group | $629.55 | ↓ -35% |
| Aetna | EBR ASO | $642.40 | ↓ -33% |
| Cigna | Commercial | $642.40 | ↓ -33% |
| Cigna | New Business ASO | $642.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $642.40 | ↓ -33% |
| InterGroup | PPO | $803.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $985.89 | ↑ +2% |
| Highmark BCBS of PA | Managed Care - Social Mission | $999.71 | ↑ +4% |
| Coventry/First Health | Commercial | $1,124.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,284.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,320.33 | ↑ +37% |
| Highmark BCBS of PA | Managed Care | $1,338.89 | ↑ +39% |
| Humana | Commercial | $1,365.10 | ↑ +42% |
| Private Health Care Systems | PPO | $1,365.10 | ↑ +42% |
| Multiplan | PPO | $1,477.52 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $2,008.34 | ↑ +108% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $771.00 | $137.28 – $347.85 |
| UPMC Passavant-McCandless | Pittsburgh | $735.00 | $137.28 – $347.85 |
| UPMC Presbyterian | Pittsburgh | $790.20 | $137.28 – $372.13 |
| UPMC St. Margaret | Pittsburgh | $984.60 | $137.28 – $347.85 |
| UPMC Altoona | Altoona | $402.00 | $124.80 – $536.00 |
| UPMC Bedford | Everett | $646.80 | $114.10 – $970.20 |
| UPMC Carlisle | Carlisle | $608.40 | $138.92 – $861.90 |
| UPMC Cole | Coudersport | $848.40 | $131.04 – $1,131.20 |