Inj, pemivibart, 4500 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$11,019.00
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.
$18,365.00
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.
$3,305.70 with Aetna vs $16,895.80 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $3,305.70 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $4,214.77 | ↓ -62% |
| UPMC Health Plan | Managed Medicaid | $4,570.70 | ↓ -59% |
| Aetna | Medicare | $4,591.25 | ↓ -58% |
| UPMC Health Plan | CHIP | $6,427.75 | ↓ -42% |
| Aetna | Neighborhood Network | $6,611.40 | ↓ -40% |
| Aetna | EBR FI | $7,162.35 | ↓ -35% |
| Aetna | Home Depot Employer Group | $7,199.08 | ↓ -35% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7,239.00 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7,239.00 | ↓ -34% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7,239.00 | ↓ -34% |
| Geisinger | Medicaid/CHIP | $7,239.00 | ↓ -34% |
| Cigna | New Business ASO | $7,346.00 | ↓ -33% |
| Aetna | EBR ASO | $7,346.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $7,346.00 | ↓ -33% |
| Cigna | Commercial | $7,346.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,844.71 | ↓ -29% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,954.63 | ↓ -28% |
| UPMC Health Plan | Commercial | $8,903.97 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,182.50 | ↓ -17% |
| InterGroup | PPO | $9,182.50 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $9,182.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,505.81 | ↓ -5% |
| Highmark BCBS of PA | Managed Care | $10,653.50 | ↓ -3% |
| Coventry/First Health | Commercial | $12,855.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $14,692.00 | ↑ +33% |
| Humana | Commercial | $15,610.25 | ↑ +42% |
| Private Health Care Systems | PPO | $15,610.25 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $15,980.31 | ↑ +45% |
| Multiplan | PPO | $16,895.80 | ↑ +53% |
Visitor-reported prices
Comments
Inj, pemivibart, 4500 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $96.00 | $21.92 – $7,383.78 |
| UPMC Community Osteopathic | Harrisburg | $96.00 | $32.00 – $8,903.97 |
| UPMC Hanover | Hanover | $96.00 | $7,239.00 – $7,962.90 |
| UPMC Lititz | Lititz | $96.00 | $7,239.00 – $7,962.90 |
| UPMC Memorial | York | $96.00 | $1,888.14 – $8,560.46 |
| UPMC Somerset | Somerset | $96.00 | $2,293.19 – $7,239.00 |
| UPMC Williamsport | Williamsport | $10,914.60 | $7,239.00 – $7,962.90 |