Sirolimus-protein bound 100 mg intravenous suspension at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$153.00
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.
?
What you pay up front if you don't use insurance.
$255.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$31.13 with Highmark BCBS of PA vs $234.60 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $31.13 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $53.40 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $58.52 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $79.15 | ↓ -48% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $84.57 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $84.57 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $84.57 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $84.57 | ↓ -45% |
| UPMC Health Plan | Partners/Select | $86.75 | ↓ -43% |
| Aetna of PA | Medicare | $88.80 | ↓ -42% |
| Aetna | CHIP/Medicaid | $89.64 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $91.33 | ↓ -40% |
| United Healthcare | Medicare | $91.34 | ↓ -40% |
| AmeriHealth Caritas | Medicare | $91.34 | ↓ -40% |
| Aetna | Neighborhood Network | $91.80 | ↓ -40% |
| Aetna | Medicare | $93.03 | ↓ -39% |
| Aetna | EBR FI | $99.45 | ↓ -35% |
| Aetna | Home Depot Employer Group | $99.96 | ↓ -35% |
| Cigna | New Business ASO | $102.00 | ↓ -33% |
| Cigna | Commercial | $102.00 | ↓ -33% |
| Aetna | EBR ASO | $102.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $102.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $104.02 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $104.42 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $105.89 | ↓ -31% |
| UPMC Health Plan | CHIP | $126.82 | ↓ -17% |
| InterGroup | PPO | $127.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $139.85 | ↓ -9% |
| Highmark BCBS of PA | Managed Care | $141.81 | ↓ -7% |
| Coventry/First Health | Commercial | $178.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $204.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $212.72 | ↑ +39% |
| Private Health Care Systems | PPO | $216.75 | ↑ +42% |
| Humana | Commercial | $216.75 | ↑ +42% |
| Multiplan | PPO | $234.60 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sirolimus-protein bound 100 mg intravenous suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $54.61 – $177.51 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $67.78 – $177.51 |