Inj efgart-alfa 2mg hya-qvfc at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$79.80
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.
?
What you pay up front if you don't use insurance.
$133.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.45 with Highmark BCBS of PA vs $97.52 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $13.45 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $21.40 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $24.33 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $31.72 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.89 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.89 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $33.89 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $33.89 | ↓ -58% |
| UPMC Health Plan | Partners/Select | $34.76 | ↓ -56% |
| Aetna of PA | Medicare | $35.58 | ↓ -55% |
| Aetna | CHIP/Medicaid | $35.92 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $36.60 | ↓ -54% |
| United Healthcare | Medicare | $36.60 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $36.60 | ↓ -54% |
| UPMC Health Plan | CHIP | $37.10 | ↓ -54% |
| Aetna | Medicare | $37.28 | ↓ -53% |
| Aetna | Neighborhood Network | $38.16 | ↓ -52% |
| Aetna | EBR FI | $41.34 | ↓ -48% |
| Aetna | Home Depot Employer Group | $41.55 | ↓ -48% |
| UPMC Health Plan | Commercial | $41.68 | ↓ -48% |
| Aetna | EBR ASO | $42.40 | ↓ -47% |
| Aetna | NBR ASO/FI | $42.40 | ↓ -47% |
| Cigna | New Business ASO | $42.40 | ↓ -47% |
| Cigna | Commercial | $42.40 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $45.13 | ↓ -43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $45.76 | ↓ -43% |
| InterGroup | PPO | $53.00 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $60.44 | ↓ -24% |
| Highmark BCBS of PA | Managed Care | $61.29 | ↓ -23% |
| Coventry/First Health | Commercial | $74.20 | ↓ -7% |
| Preferred Healthcare System | PPO | $84.80 | ↑ +6% |
| Private Health Care Systems | PPO | $90.10 | ↑ +13% |
| Humana | Commercial | $90.10 | ↑ +13% |
| Highmark BCBS of PA | UPMC Emergent | $91.94 | ↑ +15% |
| Multiplan | PPO | $97.52 | ↑ +22% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj efgart-alfa 2mg hya-qvfc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,723.20 | $33.55 – $2,441.20 |
| UPMC Community Osteopathic | Harrisburg | $1,723.20 | $22.19 – $2,441.20 |
| UPMC Hanover | Hanover | $1,723.20 | $33.55 – $54.22 |
| UPMC Lititz | Lititz | $1,723.20 | $33.55 – $54.22 |
| UPMC Memorial | York | $1,723.20 | $10.86 – $54.22 |
| UPMC Somerset | Somerset | $1,723.20 | $13.19 – $33.89 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $21.80 – $70.85 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $27.05 – $70.85 |