Porfimer sodium injection at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$105,045.60
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.
$175,076.00
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.
$4,829.04 with Highmark BCBS of PA vs $69,854.68 with Multiplan — 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 | $4,829.04 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,556.65 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,704.58 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $14,137.70 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $14,336.45 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $17,425.71 | ↓ -83% |
| Highmark BCBS of PA | UPMC Emergent | $21,504.75 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $22,675.38 | ↓ -78% |
| UPMC Health Plan | Partners/Select | $24,853.51 | ↓ -76% |
| Aetna of PA | Medicare | $25,439.84 | ↓ -76% |
| Aetna | CHIP/Medicaid | $25,682.13 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $26,164.27 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $26,166.69 | ↓ -75% |
| United Healthcare | Medicare | $26,166.69 | ↓ -75% |
| UPMC Health Plan | CHIP | $26,575.15 | ↓ -75% |
| Aetna | Medicare | $26,651.26 | ↓ -75% |
| Aetna | Neighborhood Network | $27,334.44 | ↓ -74% |
| Aetna | EBR FI | $29,612.31 | ↓ -72% |
| Aetna | Home Depot Employer Group | $29,764.17 | ↓ -72% |
| Aetna | EBR ASO | $30,371.60 | ↓ -71% |
| Cigna | New Business ASO | $30,371.60 | ↓ -71% |
| Cigna | Commercial | $30,371.60 | ↓ -71% |
| Aetna | NBR ASO/FI | $30,371.60 | ↓ -71% |
| UPMC Health Plan | Commercial | $33,029.11 | ↓ -69% |
| InterGroup | PPO | $37,964.50 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $41,760.95 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41,760.95 | ↓ -60% |
| Coventry/First Health | Commercial | $53,150.30 | ↓ -49% |
| Preferred Healthcare System | PPO | $60,743.20 | ↓ -42% |
| Private Health Care Systems | PPO | $64,539.65 | ↓ -39% |
| Humana | Commercial | $64,539.65 | ↓ -39% |
| Multiplan | PPO | $69,854.68 | ↓ -34% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Porfimer sodium injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $90,741.60 | $4,783.49 – $26,651.26 |
| UPMC Passavant-McCandless | Pittsburgh | $105,045.60 | $4,829.04 – $26,651.26 |
| UPMC Presbyterian | Pittsburgh | $105,045.60 | $4,829.04 – $26,651.26 |
| UPMC Western Psychiatric | Pittsburgh | $105,045.60 | $4,732.02 – $26,651.26 |
| UPMC Carlisle | Carlisle | $13,787.40 | $3,148.12 – $38,765.47 |
| UPMC Community Osteopathic | Harrisburg | $13,787.40 | $4,595.80 – $26,166.69 |
| UPMC Hanover | Hanover | $13,787.40 | $23,986.14 – $38,765.47 |
| UPMC Lititz | Lititz | $13,787.40 | $23,986.14 – $38,765.47 |