Ranibizumab injection at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$5,706.60
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.
$9,511.00
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.
$54.54 with UPMC Health Plan vs $5,938.35 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 | $54.54 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $80.84 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.38 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $86.38 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $86.38 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $86.38 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $88.61 | ↓ -98% |
| Aetna of PA | Medicare | $90.70 | ↓ -98% |
| Aetna | CHIP/Medicaid | $91.56 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $93.28 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $93.29 | ↓ -98% |
| United Healthcare | Medicare | $93.29 | ↓ -98% |
| Aetna | Medicare | $95.02 | ↓ -98% |
| UPMC Health Plan | Commercial | $106.25 | ↓ -98% |
| UPMC Health Plan | CHIP | $217.63 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $323.14 | ↓ -94% |
| Aetna | Neighborhood Network | $506.88 | ↓ -91% |
| Aetna | EBR FI | $549.12 | ↓ -90% |
| Aetna | Home Depot Employer Group | $551.94 | ↓ -90% |
| Cigna | New Business ASO | $563.20 | ↓ -90% |
| Aetna | EBR ASO | $563.20 | ↓ -90% |
| Aetna | NBR ASO/FI | $563.20 | ↓ -90% |
| Cigna | Commercial | $563.20 | ↓ -90% |
| InterGroup | PPO | $704.00 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $869.06 | ↓ -85% |
| Coventry/First Health | Commercial | $985.60 | ↓ -83% |
| Preferred Healthcare System | PPO | $1,126.40 | ↓ -80% |
| Private Health Care Systems | PPO | $1,196.80 | ↓ -79% |
| Humana | Commercial | $1,196.80 | ↓ -79% |
| Multiplan | PPO | $1,295.36 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,915.13 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,955.97 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,904.00 | ↓ -32% |
| Highmark BCBS of PA | Managed Care | $3,958.88 | ↓ -31% |
| Highmark BCBS of PA | UPMC Emergent | $5,938.35 | ↑ +4% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ranibizumab injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,078.80 | $54.54 – $860.87 |
| UPMC Passavant-McCandless | Pittsburgh | $844.80 | $54.54 – $869.06 |
| UPMC Presbyterian | Pittsburgh | $1,641.00 | $54.54 – $869.06 |
| Uniontown Hospital | Uniontown | $877.50 | $51.09 – $119.04 |