Injection, inclisiran, 1 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$53.85
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.
$89.75
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.
$5.25 with Highmark BCBS of PA vs $82.57 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 | $5.25 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $7.78 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $11.53 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.32 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12.32 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $12.32 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.32 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $12.64 | ↓ -77% |
| Aetna of PA | Medicare | $12.94 | ↓ -76% |
| Aetna | CHIP/Medicaid | $13.06 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.30 | ↓ -75% |
| United Healthcare | Medicare | $13.31 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $13.31 | ↓ -75% |
| Aetna | Medicare | $13.55 | ↓ -75% |
| UPMC Health Plan | CHIP | $14.08 | ↓ -74% |
| UPMC Health Plan | Commercial | $15.15 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $17.62 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $17.87 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $20.60 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $23.60 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $23.93 | ↓ -56% |
| Aetna | Neighborhood Network | $32.31 | ↓ -40% |
| Aetna | EBR FI | $35.00 | ↓ -35% |
| Aetna | Home Depot Employer Group | $35.18 | ↓ -35% |
| Aetna | EBR ASO | $35.90 | ↓ -33% |
| Cigna | New Business ASO | $35.90 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $35.90 | ↓ -33% |
| Cigna | Commercial | $35.90 | ↓ -33% |
| Aetna | NBR ASO/FI | $35.90 | ↓ -33% |
| InterGroup | PPO | $44.88 | ↓ -17% |
| Coventry/First Health | Commercial | $62.83 | ↑ +17% |
| Preferred Healthcare System | PPO | $71.80 | ↑ +33% |
| Private Health Care Systems | PPO | $76.29 | ↑ +42% |
| Humana | Commercial | $76.29 | ↑ +42% |
| Multiplan | PPO | $82.57 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,348.80 | $12.20 – $1,910.80 |
| UPMC Community Osteopathic | Harrisburg | $1,348.80 | $8.67 – $1,910.80 |
| UPMC Hanover | Hanover | $1,348.80 | $12.20 – $19.71 |
| UPMC Lititz | Lititz | $1,348.80 | $12.20 – $19.71 |
| UPMC Memorial | York | $1,348.80 | $4.24 – $19.71 |
| UPMC Somerset | Somerset | $1,348.80 | $5.15 – $12.32 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $7.98 – $25.94 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $9.90 – $25.94 |