Cladribine 10 mg/10 ml intravenous solution at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$576.60
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.
$961.00
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.
$6.74 with UPMC Health Plan vs $491.28 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 | $6.74 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $10.00 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.68 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.68 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $10.68 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.68 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $10.96 | ↓ -98% |
| Aetna of PA | Medicare | $11.21 | ↓ -98% |
| Aetna | CHIP/Medicaid | $11.32 | ↓ -98% |
| United Healthcare | Medicare | $11.53 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $11.53 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.53 | ↓ -98% |
| Aetna | Medicare | $11.75 | ↓ -98% |
| UPMC Health Plan | Commercial | $13.13 | ↓ -98% |
| UPMC Health Plan | CHIP | $18.30 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $105.31 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $122.55 | ↓ -79% |
| Aetna | Neighborhood Network | $192.24 | ↓ -67% |
| Aetna | EBR FI | $208.26 | ↓ -64% |
| Aetna | Home Depot Employer Group | $209.33 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $213.00 | ↓ -63% |
| Cigna | New Business ASO | $213.60 | ↓ -63% |
| Aetna | EBR ASO | $213.60 | ↓ -63% |
| Cigna | Commercial | $213.60 | ↓ -63% |
| Aetna | NBR ASO/FI | $213.60 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $215.99 | ↓ -63% |
| InterGroup | PPO | $267.00 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $285.26 | ↓ -51% |
| Highmark BCBS of PA | Managed Care | $289.27 | ↓ -50% |
| Coventry/First Health | Commercial | $373.80 | ↓ -35% |
| Preferred Healthcare System | PPO | $427.20 | ↓ -26% |
| Highmark BCBS of PA | UPMC Emergent | $433.90 | ↓ -25% |
| Humana | Commercial | $453.90 | ↓ -21% |
| Private Health Care Systems | PPO | $453.90 | ↓ -21% |
| Multiplan | PPO | $491.28 | ↓ -15% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $576.60 | $6.74 – $105.31 |
| UPMC St. Margaret | Pittsburgh | $782.40 | $6.74 – $105.31 |
| UPMC Western Psychiatric | Pittsburgh | $576.60 | $10.68 – $103.19 |
| UPMC Mercy | Pittsburgh | not published | $6.74 – $104.32 |
| UPMC Altoona | Altoona | $613.20 | $6.74 – $817.60 |
| UPMC Cole | Coudersport | $1,083.00 | $10.68 – $1,444.00 |
| UPMC Hamot | Erie | $475.20 | $6.74 – $39.90 |
| UPMC Northwest | Seneca | $329.60 | $6.74 – $11.53 |