Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$13,611.00
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.
$22,685.00
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.
$81.01 with UPMC Work Partners vs $732.15 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $81.01 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $107.15 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $108.74 | ↓ -99% |
| Aetna | Neighborhood Network | $127.08 | ↓ -99% |
| Aetna | EBR FI | $137.67 | ↓ -99% |
| Aetna | Home Depot Employer Group | $138.38 | ↓ -99% |
| Cigna | Commercial | $141.20 | ↓ -99% |
| Aetna | NBR ASO/FI | $141.20 | ↓ -99% |
| Aetna | EBR ASO | $141.20 | ↓ -99% |
| Cigna | New Business ASO | $141.20 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $161.18 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $172.22 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $172.22 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $172.22 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $172.22 | ↓ -99% |
| InterGroup | PPO | $176.50 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $176.66 | ↓ -99% |
| UPMC Health Plan | CHIP | $177.67 | ↓ -99% |
| Aetna of PA | Medicare | $180.83 | ↓ -99% |
| Aetna | CHIP/Medicaid | $182.55 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $185.98 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $186.00 | ↓ -99% |
| United Healthcare | Medicare | $186.00 | ↓ -99% |
| Aetna | Medicare | $189.44 | ↓ -99% |
| UPMC Health Plan | Commercial | $211.83 | ↓ -98% |
| Coventry/First Health | Commercial | $247.10 | ↓ -98% |
| Preferred Healthcare System | PPO | $282.40 | ↓ -98% |
| Private Health Care Systems | PPO | $300.05 | ↓ -98% |
| Humana | Commercial | $300.05 | ↓ -98% |
| Multiplan | PPO | $324.76 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $359.41 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $364.45 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $481.33 | ↓ -96% |
| Highmark BCBS of PA | Managed Care | $488.10 | ↓ -96% |
| Highmark BCBS of PA | UPMC Emergent | $732.15 | ↓ -95% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,483.20 | $106.14 – $189.44 |
| UPMC Passavant-McCandless | Pittsburgh | $14,427.60 | $107.15 – $189.44 |
| UPMC Presbyterian | Pittsburgh | $10,576.20 | $107.15 – $189.44 |
| UPMC St. Margaret | Pittsburgh | $11,617.80 | $107.15 – $189.44 |
| UPMC Altoona | Altoona | $11,298.60 | $106.14 – $301.60 |
| UPMC Bedford | Everett | $8,390.40 | $62.14 – $252.00 |
| UPMC Carlisle | Carlisle | $4,559.40 | $170.50 – $5,285.30 |
| UPMC Cole | Coudersport | $4,500.60 | $172.22 – $6,000.80 |