Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,493.40
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.
$2,489.00
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.
$25.67 with UPMC Health Plan vs $950.13 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 Health Plan | Managed Medicaid | $25.67 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.65 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.65 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.65 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $40.65 | ↓ -97% |
| Aetna | Medicare | $47.47 | ↓ -97% |
| UPMC Health Plan | CHIP | $48.92 | ↓ -97% |
| UPMC Health Plan | Commercial | $50.00 | ↓ -97% |
| Aetna | CHIP/Medicaid | $128.16 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $139.05 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $163.40 | ↓ -89% |
| Aetna | Neighborhood Network | $256.32 | ↓ -83% |
| Aetna | EBR FI | $277.68 | ↓ -81% |
| Aetna | Home Depot Employer Group | $279.10 | ↓ -81% |
| Aetna | NBR ASO/FI | $284.80 | ↓ -81% |
| Cigna | New Business ASO | $284.80 | ↓ -81% |
| Aetna | EBR ASO | $284.80 | ↓ -81% |
| Cigna | Commercial | $284.80 | ↓ -81% |
| InterGroup | PPO | $356.00 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $356.00 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $466.42 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $472.95 | ↓ -68% |
| Coventry/First Health | Commercial | $498.40 | ↓ -67% |
| Preferred Healthcare System | PPO | $569.60 | ↓ -62% |
| Private Health Care Systems | PPO | $605.20 | ↓ -59% |
| Humana | Commercial | $605.20 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity | $624.63 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $633.41 | ↓ -58% |
| Multiplan | PPO | $655.04 | ↓ -56% |
| Highmark BCBS of PA | UPMC Emergent | $950.13 | ↓ -36% |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $793.80 | $25.67 – $137.74 |
| UPMC Passavant-McCandless | Pittsburgh | $1,422.60 | $25.67 – $139.05 |
| UPMC Presbyterian | Pittsburgh | $2,845.20 | $25.67 – $139.05 |
| UPMC St. Margaret | Pittsburgh | $2,056.20 | $25.67 – $139.05 |
| UPMC Western Psychiatric | Pittsburgh | $1,422.60 | $40.65 – $136.26 |
| UPMC Altoona | Altoona | $1,221.60 | $25.67 – $566.40 |
| UPMC Bedford | Everett | $606.00 | $25.67 – $456.30 |
| UPMC Carlisle | Carlisle | $104.40 | $7.95 – $59.45 |