Mayo lacosamide therapeutic drug level at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$88.20
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.
$147.00
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.
$15.31 with Highmark BCBS of PA vs $140.84 with UPMC Health Plan — 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 | $15.31 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $24.34 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $25.37 | ↓ -71% |
| Aetna | CHIP/Medicaid | $26.46 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $26.79 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $27.81 | ↓ -68% |
| Aetna of PA | Medicare | $28.47 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.28 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $29.28 | ↓ -67% |
| United Healthcare | Medicare | $29.28 | ↓ -67% |
| Aetna | Medicare | $29.82 | ↓ -66% |
| Highmark BCBS of PA | Managed Care | $32.60 | ↓ -63% |
| Highmark BCBS of PA | UPMC Emergent | $48.90 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $51.36 | ↓ -42% |
| Aetna | Neighborhood Network | $52.92 | ↓ -40% |
| Aetna | EBR FI | $57.33 | ↓ -35% |
| Aetna | Home Depot Employer Group | $57.62 | ↓ -35% |
| Aetna | EBR ASO | $58.80 | ↓ -33% |
| Cigna | Commercial | $58.80 | ↓ -33% |
| Cigna | New Business ASO | $58.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $58.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $68.79 | ↓ -22% |
| InterGroup | PPO | $73.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $77.03 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $80.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $80.85 | ↓ -8% |
| Coventry/First Health | Commercial | $102.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $117.60 | ↑ +33% |
| Humana | Commercial | $124.95 | ↑ +42% |
| Private Health Care Systems | PPO | $124.95 | ↑ +42% |
| Multiplan | PPO | $135.24 | ↑ +53% |
| UPMC Health Plan | CHIP | $140.84 | ↑ +60% |
Visitor-reported prices
Comments
Mayo lacosamide therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $129.60 | $15.17 – $29.82 |
| UPMC Passavant-McCandless | Pittsburgh | $72.00 | $15.31 – $31.15 |
| UPMC Presbyterian | Pittsburgh | $210.00 | $15.31 – $77.59 |
| UPMC St. Margaret | Pittsburgh | $298.80 | $15.31 – $29.82 |
| UPMC Altoona | Altoona | $175.20 | $15.17 – $233.60 |
| UPMC Bedford | Everett | $88.20 | $9.78 – $132.30 |
| UPMC Carlisle | Carlisle | $69.60 | $14.91 – $98.60 |
| UPMC Community Osteopathic | Harrisburg | $69.60 | $21.67 – $140.84 |