Pegloticase 8 mg/ml intravenous solution at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,128.00
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.
$1,880.00
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.
$421.42 with Highmark BCBS of PA vs $4,502.83 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 | $421.42 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $431.46 | ↓ -62% |
| Aetna | Neighborhood Network | $676.80 | ↓ -40% |
| Aetna | EBR FI | $733.20 | ↓ -35% |
| Aetna | Home Depot Employer Group | $736.96 | ↓ -35% |
| Cigna | New Business ASO | $752.00 | ↓ -33% |
| Aetna | EBR ASO | $752.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $752.00 | ↓ -33% |
| Cigna | Commercial | $752.00 | ↓ -33% |
| InterGroup | PPO | $940.00 | ↓ -17% |
| Coventry/First Health | Commercial | $1,316.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,413.60 | ↑ +25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,433.40 | ↑ +27% |
| Preferred Healthcare System | PPO | $1,504.00 | ↑ +33% |
| Humana | Commercial | $1,598.00 | ↑ +42% |
| Private Health Care Systems | PPO | $1,598.00 | ↑ +42% |
| Multiplan | PPO | $1,729.60 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,893.12 | ↑ +68% |
| Highmark BCBS of PA | Managed Care | $1,919.73 | ↑ +70% |
| UPMC Health Plan | Managed Medicaid | $2,311.45 | ↑ +105% |
| Highmark BCBS of PA | UPMC Emergent | $2,879.61 | ↑ +155% |
| UPMC Health Plan | Managed Medicare | $3,426.17 | ↑ +204% |
| Geisinger | Medicaid/CHIP | $3,660.83 | ↑ +225% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,660.83 | ↑ +225% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,660.83 | ↑ +225% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,660.83 | ↑ +225% |
| UPMC Health Plan | Partners/Select | $3,755.28 | ↑ +233% |
| Aetna of PA | Medicare | $3,843.87 | ↑ +241% |
| Aetna | CHIP/Medicaid | $3,880.48 | ↑ +244% |
| UPMC Health Plan | CHIP | $3,911.72 | ↑ +247% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,953.33 | ↑ +250% |
| United Healthcare | Medicare | $3,953.70 | ↑ +251% |
| AmeriHealth Caritas | Medicare | $3,953.70 | ↑ +251% |
| Aetna | Medicare | $4,026.91 | ↑ +257% |
| UPMC Health Plan | Commercial | $4,502.83 | ↑ +299% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,349.20 | $417.45 – $4,026.91 |
| UPMC Carlisle | Carlisle | $17,178.60 | $1,918.00 – $11,900.00 |
| UPMC Cole | Coudersport | $76,549.80 | $3,660.83 – $102,066.40 |
| UPMC Community Osteopathic | Harrisburg | $17,178.60 | $695.08 – $11,900.00 |
| UPMC Hamot | Erie | $5,918.40 | $417.45 – $3,953.70 |
| UPMC Hanover | Hanover | $17,178.60 | $3,624.22 – $5,857.33 |
| UPMC Horizon-Greenville | Greenville | $6,349.20 | $1,063.90 – $3,953.70 |
| UPMC Lititz | Lititz | $17,178.60 | $3,624.22 – $5,857.33 |