Pegaspargase injection at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$19,415.40
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.
$32,359.00
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.
$2,480.08 with Highmark BCBS of PA vs $34,961.59 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,480.08 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $3,727.77 | ↓ -81% |
| Aetna | Neighborhood Network | $5,847.48 | ↓ -70% |
| Aetna | EBR FI | $6,334.77 | ↓ -67% |
| Aetna | Home Depot Employer Group | $6,367.26 | ↓ -67% |
| Cigna | New Business ASO | $6,497.20 | ↓ -67% |
| Aetna | EBR ASO | $6,497.20 | ↓ -67% |
| Aetna | NBR ASO/FI | $6,497.20 | ↓ -67% |
| Cigna | Commercial | $6,497.20 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,638.20 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,731.22 | ↓ -65% |
| InterGroup | PPO | $8,121.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,890.02 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $9,015.00 | ↓ -54% |
| Coventry/First Health | Commercial | $11,370.10 | ↓ -41% |
| Preferred Healthcare System | PPO | $12,994.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $13,522.55 | ↓ -30% |
| Private Health Care Systems | PPO | $13,806.55 | ↓ -29% |
| Humana | Commercial | $13,806.55 | ↓ -29% |
| Multiplan | PPO | $14,943.56 | ↓ -23% |
| UPMC Health Plan | Managed Medicaid | $17,946.95 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $26,602.08 | ↑ +37% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28,424.06 | ↑ +46% |
| Geisinger | Medicaid/CHIP | $28,424.06 | ↑ +46% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28,424.06 | ↑ +46% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28,424.06 | ↑ +46% |
| UPMC Health Plan | Partners/Select | $29,157.40 | ↑ +50% |
| Aetna of PA | Medicare | $29,845.26 | ↑ +54% |
| UPMC Health Plan | CHIP | $29,916.22 | ↑ +54% |
| Aetna | CHIP/Medicaid | $30,129.50 | ↑ +55% |
| Highmark Wholecare (prev Gateway) | Medicare | $30,695.14 | ↑ +58% |
| United Healthcare | Medicare | $30,697.98 | ↑ +58% |
| AmeriHealth Caritas | Medicare | $30,697.98 | ↑ +58% |
| Aetna | Medicare | $31,266.47 | ↑ +61% |
| UPMC Health Plan | Commercial | $34,961.59 | ↑ +80% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pegaspargase injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $19,415.40 | $2,480.08 – $31,266.47 |
| UPMC Presbyterian | Pittsburgh | $19,415.40 | $2,480.08 – $31,266.47 |
| UPMC Western Psychiatric | Pittsburgh | $19,415.40 | $2,430.25 – $31,266.47 |
| UPMC Altoona | Altoona | $12,652.20 | $2,456.68 – $30,413.74 |
| UPMC Hamot | Erie | $11,001.60 | $2,456.68 – $30,697.98 |
| UPMC Muncy | Muncy | $62,371.80 | $28,424.06 – $31,266.46 |
| UPMC Wellsboro | Wellsboro | $62,371.80 | $28,424.06 – $31,266.46 |