Carmustine 100 mg intravenous powder for solution at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,713.80
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.
$4,523.00
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.
$150.56 with UPMC Health Plan vs $2,987.24 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $150.56 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $223.17 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $238.46 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $238.46 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $238.46 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $238.46 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $244.61 | ↓ -91% |
| Aetna of PA | Medicare | $250.38 | ↓ -91% |
| Aetna | CHIP/Medicaid | $252.77 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $257.51 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $257.54 | ↓ -91% |
| United Healthcare | Medicare | $257.54 | ↓ -91% |
| Aetna | Medicare | $262.31 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $284.10 | ↓ -90% |
| UPMC Health Plan | Commercial | $293.30 | ↓ -89% |
| UPMC Health Plan | CHIP | $315.00 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $745.19 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $761.50 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $772.17 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,019.81 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $1,034.15 | ↓ -62% |
| Aetna | Neighborhood Network | $1,168.92 | ↓ -57% |
| Aetna | EBR FI | $1,266.33 | ↓ -53% |
| Aetna | Home Depot Employer Group | $1,272.82 | ↓ -53% |
| Aetna | NBR ASO/FI | $1,298.80 | ↓ -52% |
| Aetna | EBR ASO | $1,298.80 | ↓ -52% |
| Cigna | New Business ASO | $1,298.80 | ↓ -52% |
| Cigna | Commercial | $1,298.80 | ↓ -52% |
| Highmark BCBS of PA | UPMC Emergent | $1,551.23 | ↓ -43% |
| InterGroup | PPO | $1,623.50 | ↓ -40% |
| Coventry/First Health | Commercial | $2,272.90 | ↓ -16% |
| Preferred Healthcare System | PPO | $2,597.60 | ↓ -4% |
| Private Health Care Systems | PPO | $2,759.95 | ↑ +2% |
| Humana | Commercial | $2,759.95 | ↑ +2% |
| Multiplan | PPO | $2,987.24 | ↑ +10% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Carmustine 100 mg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,713.80 | $150.56 – $284.10 |
| UPMC Presbyterian | Pittsburgh | $2,713.80 | $150.56 – $284.10 |
| UPMC Western Psychiatric | Pittsburgh | $2,713.80 | $238.46 – $278.39 |
| UPMC Mercy | Pittsburgh | not published | $150.56 – $281.42 |
| UPMC St. Margaret | Pittsburgh | not published | $150.56 – $284.10 |
| UPMC Altoona | Altoona | $1,512.00 | $150.56 – $2,016.00 |
| UPMC Carlisle | Carlisle | $1,582.20 | $23.43 – $381.54 |
| UPMC Cole | Coudersport | $382.20 | $176.58 – $509.60 |