Afamelanotide implant, 1 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$140,689.80
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.
$234,483.00
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.
$1,377.80 with Highmark BCBS of PA vs $10,011.44 with Multiplan — 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 | $1,377.80 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $2,497.42 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $2,754.75 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $3,019.36 | ↓ -98% |
| Aetna of PA | Medicare | $3,090.59 | ↓ -98% |
| Aetna | CHIP/Medicaid | $3,120.03 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,178.60 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $3,178.89 | ↓ -98% |
| United Healthcare | Medicare | $3,178.89 | ↓ -98% |
| Aetna | Medicare | $3,237.76 | ↓ -98% |
| UPMC Health Plan | CHIP | $3,808.70 | ↓ -97% |
| Aetna | Neighborhood Network | $3,917.52 | ↓ -97% |
| Aetna | EBR FI | $4,243.98 | ↓ -97% |
| Aetna | Home Depot Employer Group | $4,265.74 | ↓ -97% |
| Aetna | EBR ASO | $4,352.80 | ↓ -97% |
| Cigna | Commercial | $4,352.80 | ↓ -97% |
| Aetna | NBR ASO/FI | $4,352.80 | ↓ -97% |
| Cigna | New Business ASO | $4,352.80 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,621.60 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,686.36 | ↓ -97% |
| UPMC Health Plan | Commercial | $4,733.67 | ↓ -97% |
| InterGroup | PPO | $5,441.00 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5,985.10 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $5,985.10 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,189.35 | ↓ -96% |
| Highmark BCBS of PA | Managed Care | $6,276.36 | ↓ -96% |
| Coventry/First Health | Commercial | $7,617.40 | ↓ -95% |
| Preferred Healthcare System | PPO | $8,705.60 | ↓ -94% |
| Humana | Commercial | $9,249.70 | ↓ -93% |
| Private Health Care Systems | PPO | $9,249.70 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $9,414.57 | ↓ -93% |
| Multiplan | PPO | $10,011.44 | ↓ -93% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Afamelanotide implant, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,529.20 | $1,364.81 – $3,237.76 |
| UPMC Passavant-McCandless | Pittsburgh | $140,689.80 | $1,377.80 – $3,237.76 |
| UPMC Presbyterian | Pittsburgh | $140,689.80 | $1,377.80 – $3,237.76 |
| UPMC Western Psychiatric | Pittsburgh | $140,689.80 | $1,350.12 – $3,237.76 |
| UPMC Altoona | Altoona | $6,227.40 | $1,364.81 – $8,303.20 |
| UPMC Bedford | Everett | $6,529.20 | $1,061.99 – $9,793.80 |
| UPMC Hamot | Erie | $6,733.80 | $1,364.81 – $3,178.89 |
| UPMC Northwest | Seneca | $6,529.20 | $2,669.39 – $3,178.89 |