Injection, burosumab-twza 1m at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$102.00
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.
$170.00
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.
$39.02 with UPMC Work Partners vs $1,632.91 with Highmark BCBS of PA — 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 Work Partners | Workers Comp | $39.02 | ↓ -62% |
| Aetna | Neighborhood Network | $61.20 | ↓ -40% |
| Aetna | EBR FI | $66.30 | ↓ -35% |
| Aetna | Home Depot Employer Group | $66.64 | ↓ -35% |
| Cigna | Commercial | $68.00 | ↓ -33% |
| Aetna | EBR ASO | $68.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $68.00 | ↓ -33% |
| Cigna | New Business ASO | $68.00 | ↓ -33% |
| InterGroup | PPO | $85.00 | ↓ -17% |
| Coventry/First Health | Commercial | $119.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $136.00 | ↑ +33% |
| Private Health Care Systems | PPO | $144.50 | ↑ +42% |
| Humana | Commercial | $144.50 | ↑ +42% |
| Multiplan | PPO | $156.40 | ↑ +53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $238.97 | ↑ +134% |
| UPMC Health Plan | Managed Medicaid | $305.68 | ↑ +200% |
| UPMC Health Plan | Managed Medicare | $453.11 | ↑ +344% |
| Geisinger | Medicaid/CHIP | $484.14 | ↑ +375% |
| Highmark Wholecare (prev Gateway) | Medicaid | $484.14 | ↑ +375% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $484.14 | ↑ +375% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $484.14 | ↑ +375% |
| UPMC Health Plan | Partners/Select | $496.63 | ↑ +387% |
| Aetna of PA | Medicare | $508.35 | ↑ +398% |
| Aetna | CHIP/Medicaid | $513.19 | ↑ +403% |
| UPMC Health Plan | CHIP | $514.63 | ↑ +405% |
| Highmark Wholecare (prev Gateway) | Medicare | $522.82 | ↑ +413% |
| AmeriHealth Caritas | Medicare | $522.87 | ↑ +413% |
| United Healthcare | Medicare | $522.87 | ↑ +413% |
| Aetna | Medicare | $532.55 | ↑ +422% |
| UPMC Health Plan | Commercial | $595.49 | ↑ +484% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $801.59 | ↑ +686% |
| Highmark BCBS of PA | Managed Care - Social Mission | $812.82 | ↑ +697% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,073.51 | ↑ +952% |
| Highmark BCBS of PA | Managed Care | $1,088.60 | ↑ +967% |
| Highmark BCBS of PA | UPMC Emergent | $1,632.91 | ↑ +1501% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Injection, burosumab-twza 1m at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,120.20 | $238.97 – $532.55 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $311.14 – $1,011.29 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $386.17 – $1,011.29 |