Cladribine 10 mg/10 ml intravenous solution at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
not published by hospital
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.
$267.80
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.
$6.74 with UPMC Health Plan vs $246.53 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 | $6.74 | — |
| UPMC Health Plan | Managed Medicare | $8.90 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.68 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.68 | — |
| Geisinger | Medicaid/CHIP | $10.68 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $10.96 | — |
| Aetna of PA | Medicare | $11.21 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.53 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $11.53 | — |
| AmeriHealth Caritas | Medicare | $11.53 | — |
| Aetna | Medicare | $11.75 | — |
| UPMC Health Plan | Commercial | $13.13 | — |
| UPMC Health Plan | CHIP | $18.30 | — |
| Aetna | Neighborhood Network | $74.72 | — |
| Aetna | Home Depot Employer Group | $81.55 | — |
| Aetna | NBR ASO/FI | $83.02 | — |
| Cigna | New Business ASO | $91.05 | — |
| UPMC Work Partners | Workers Comp | $93.01 | — |
| Bravo | Medicare | $93.73 | — |
| Aetna | EBR FI | $101.76 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $104.32 | — |
| Aetna | EBR ASO | $107.12 | — |
| Cigna | Commercial | $107.12 | — |
| Coventry/First Health | Commercial | $117.83 | — |
| InterGroup | PPO | $133.90 | — |
| Cigna Behavioral Health | Commercial | $160.68 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $178.98 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $184.07 | — |
| Private Health Care Systems | PPO | $200.85 | — |
| InterGroup | Approved National Affiliated PPO Business | $214.24 | — |
| American Healthcare Group | Commercial | $214.24 | — |
| National Provider Network | PPO | $219.60 | — |
| Highmark BCBS of PA | Managed Care | $239.71 | — |
| Health Payors Organization | Commercial | $241.02 | — |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $241.02 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $246.53 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $576.60 | $6.74 – $105.31 |
| UPMC Passavant-McCandless | Pittsburgh | $576.60 | $6.74 – $105.31 |
| UPMC St. Margaret | Pittsburgh | $782.40 | $6.74 – $105.31 |
| UPMC Western Psychiatric | Pittsburgh | $576.60 | $10.68 – $103.19 |
| UPMC Altoona | Altoona | $613.20 | $6.74 – $817.60 |
| UPMC Cole | Coudersport | $1,083.00 | $10.68 – $1,444.00 |
| UPMC Hamot | Erie | $475.20 | $6.74 – $39.90 |
| UPMC Northwest | Seneca | $329.60 | $6.74 – $11.53 |