Inj. pemetrexed, 10 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$156.60
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.
?
What you pay up front if you don't use insurance.
$261.00
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.
$29.25 with UPMC Health Plan vs $241.19 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $29.25 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $35.30 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $43.35 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $46.32 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.32 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $46.32 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.32 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $47.52 | ↓ -70% |
| Aetna of PA | Medicare | $48.64 | ↓ -69% |
| Aetna | CHIP/Medicaid | $49.10 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $50.02 | ↓ -68% |
| United Healthcare | Medicare | $50.03 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $50.03 | ↓ -68% |
| Aetna | Medicare | $50.95 | ↓ -67% |
| UPMC Health Plan | Commercial | $56.97 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $59.90 | ↓ -62% |
| UPMC Health Plan | CHIP | $72.31 | ↓ -54% |
| Aetna | Neighborhood Network | $93.96 | ↓ -40% |
| Aetna | EBR FI | $101.79 | ↓ -35% |
| Aetna | Home Depot Employer Group | $102.31 | ↓ -35% |
| Aetna | EBR ASO | $104.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $104.40 | ↓ -33% |
| Cigna | New Business ASO | $104.40 | ↓ -33% |
| Cigna | Commercial | $104.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $118.40 | ↓ -24% |
| Highmark BCBS of PA | Managed Care - Social Mission | $120.06 | ↓ -23% |
| InterGroup | PPO | $130.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $158.56 | ↑ +1% |
| Highmark BCBS of PA | Managed Care | $160.79 | ↑ +3% |
| Coventry/First Health | Commercial | $182.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $208.80 | ↑ +33% |
| Humana | Commercial | $221.85 | ↑ +42% |
| Private Health Care Systems | PPO | $221.85 | ↑ +42% |
| Multiplan | PPO | $240.12 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $241.19 | ↑ +54% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj. pemetrexed, 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $156.60 | $29.25 – $50.95 |
| UPMC Passavant-McCandless | Pittsburgh | $156.60 | $29.25 – $50.95 |
| UPMC Altoona | Altoona | $152.40 | $29.25 – $203.20 |
| UPMC Hamot | Erie | $156.60 | $29.25 – $74.57 |
| UPMC Northwest | Seneca | $156.60 | $29.25 – $50.03 |
| UPMC Horizon-Greenville | Greenville | $156.60 | $29.25 – $86.92 |
| UPMC McKeesport | Mckeesport | $156.60 | $29.25 – $50.95 |
| UPMC Wellsboro | Wellsboro | $152.40 | $46.32 – $50.95 |