Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$141.60
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.
?
What you pay up front if you don't use insurance.
$236.00
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.
$32.84 with Highmark BCBS of PA vs $224.39 with Highmark BCBS of PA — 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 | $32.84 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $46.68 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $54.16 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $69.20 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $73.94 | ↓ -48% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $73.94 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $73.94 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.94 | ↓ -48% |
| UPMC Health Plan | Partners/Select | $75.85 | ↓ -46% |
| UPMC Health Plan | CHIP | $77.27 | ↓ -45% |
| Aetna of PA | Medicare | $77.64 | ↓ -45% |
| Aetna | CHIP/Medicaid | $78.38 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $79.85 | ↓ -44% |
| United Healthcare | Medicare | $79.86 | ↓ -44% |
| AmeriHealth Caritas | Medicare | $79.86 | ↓ -44% |
| Aetna | Medicare | $81.33 | ↓ -43% |
| Aetna | Neighborhood Network | $84.96 | ↓ -40% |
| UPMC Health Plan | Commercial | $90.94 | ↓ -36% |
| Aetna | EBR FI | $92.04 | ↓ -35% |
| Aetna | Home Depot Employer Group | $92.51 | ↓ -35% |
| Cigna | Commercial | $94.40 | ↓ -33% |
| Aetna | EBR ASO | $94.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $94.40 | ↓ -33% |
| Cigna | New Business ASO | $94.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $110.15 | ↓ -22% |
| Highmark BCBS of PA | Managed Care - Social Mission | $111.70 | ↓ -21% |
| InterGroup | PPO | $118.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $147.52 | ↑ +4% |
| Highmark BCBS of PA | Managed Care | $149.59 | ↑ +6% |
| Coventry/First Health | Commercial | $165.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $188.80 | ↑ +33% |
| Humana | Commercial | $200.60 | ↑ +42% |
| Private Health Care Systems | PPO | $200.60 | ↑ +42% |
| Multiplan | PPO | $217.12 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $224.39 | ↑ +58% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $133.80 | $32.84 – $81.33 |
| UPMC Hamot | Erie | $155.40 | $32.53 – $79.86 |
| UPMC Williamsport | Williamsport | $101.40 | $73.94 – $79.12 |