Alprostadil for injection at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$282.00
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.
$470.00
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.
$3.23 with Highmark BCBS of PA vs $432.40 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 | $3.23 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10.83 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10.98 | ↓ -96% |
| Aetna | Medicare | $11.29 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity | $14.50 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $14.70 | ↓ -95% |
| Highmark BCBS of PA | UPMC Emergent | $22.05 | ↓ -92% |
| Aetna | CHIP/Medicaid | $84.60 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $107.86 | ↓ -62% |
| UPMC Health Plan | CHIP | $164.50 | ↓ -42% |
| Aetna | Neighborhood Network | $169.20 | ↓ -40% |
| Aetna | EBR FI | $183.30 | ↓ -35% |
| Aetna | Home Depot Employer Group | $184.24 | ↓ -35% |
| Cigna | New Business ASO | $188.00 | ↓ -33% |
| Aetna | EBR ASO | $188.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $188.00 | ↓ -33% |
| Cigna | Commercial | $188.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $204.45 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $235.00 | ↓ -17% |
| InterGroup | PPO | $235.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $258.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $258.50 | ↓ -8% |
| Coventry/First Health | Commercial | $329.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $376.00 | ↑ +33% |
| Private Health Care Systems | PPO | $399.50 | ↑ +42% |
| Humana | Commercial | $399.50 | ↑ +42% |
| Multiplan | PPO | $432.40 | ↑ +53% |
Visitor-reported prices
Comments
Alprostadil for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,677.60 | $1.41 – $4.80 |
| UPMC Carlisle | Carlisle | $151.80 | $14.47 – $124.10 |
| UPMC Cole | Coudersport | $249.00 | $11.71 – $283.20 |
| UPMC Community Osteopathic | Harrisburg | $151.80 | $0.44 – $124.10 |
| UPMC Hamot | Erie | $199.80 | $1.20 – $9.67 |
| UPMC Hanover | Hanover | $151.80 | $14.47 – $14.47 |
| UPMC Lititz | Lititz | $151.80 | $10.48 – $14.47 |
| UPMC Memorial | York | $151.80 | $0.44 – $14.47 |