Pralatrexate injection at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$723.60
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.
$1,206.00
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.
$134.03 with UPMC Work Partners vs $1,472.63 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 Work Partners | Workers Comp | $134.03 | ↓ -81% |
| Aetna | Neighborhood Network | $210.24 | ↓ -71% |
| Aetna | EBR FI | $227.76 | ↓ -69% |
| Aetna | Home Depot Employer Group | $228.93 | ↓ -68% |
| Aetna | NBR ASO/FI | $233.60 | ↓ -68% |
| Aetna | EBR ASO | $233.60 | ↓ -68% |
| Cigna | Commercial | $233.60 | ↓ -68% |
| Cigna | New Business ASO | $233.60 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $247.91 | ↓ -66% |
| InterGroup | PPO | $292.00 | ↓ -60% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $334.26 | ↓ -54% |
| UPMC Health Plan | CHIP | $335.51 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $367.46 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $392.63 | ↓ -46% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $392.63 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $392.63 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicaid | $392.63 | ↓ -46% |
| UPMC Health Plan | Partners/Select | $402.76 | ↓ -44% |
| Coventry/First Health | Commercial | $408.80 | ↓ -44% |
| Aetna of PA | Medicare | $412.26 | ↓ -43% |
| Aetna | CHIP/Medicaid | $416.19 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $424.00 | ↓ -41% |
| AmeriHealth Caritas | Medicare | $424.04 | ↓ -41% |
| United Healthcare | Medicare | $424.04 | ↓ -41% |
| Aetna | Medicare | $431.89 | ↓ -40% |
| Preferred Healthcare System | PPO | $467.20 | ↓ -35% |
| UPMC Health Plan | Commercial | $482.93 | ↓ -33% |
| Private Health Care Systems | PPO | $496.40 | ↓ -31% |
| Humana | Commercial | $496.40 | ↓ -31% |
| Multiplan | PPO | $537.28 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $722.91 | ↓ -0% |
| Highmark BCBS of PA | Managed Care - Social Mission | $733.04 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Indemnity | $968.14 | ↑ +34% |
| Highmark BCBS of PA | Managed Care | $981.75 | ↑ +36% |
| Highmark BCBS of PA | UPMC Emergent | $1,472.63 | ↑ +104% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pralatrexate injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $33,372.00 | $247.91 – $431.89 |
| UPMC St. Margaret | Pittsburgh | $788.00 | $247.91 – $431.89 |
| UPMC Mercy | Pittsburgh | not published | $247.91 – $431.89 |
| UPMC Carlisle | Carlisle | $4,072.20 | $388.70 – $4,233.85 |
| UPMC Community Osteopathic | Harrisburg | $4,072.20 | $388.70 – $4,233.85 |
| UPMC East | Monroeville | $788.00 | $117.81 – $788.00 |
| UPMC Hanover | Hanover | $4,072.20 | $388.70 – $628.21 |
| UPMC Lititz | Lititz | $4,072.20 | $388.70 – $628.21 |