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Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$98.40
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.
$142.00
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.
$5.39 with UPMC Health Plan vs $92.70 with Health Payors Organization — 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 | $5.39 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $7.12 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $8.54 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.54 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.54 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $8.76 | ↓ -91% |
| Aetna of PA | Medicare | $8.97 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $9.22 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $9.22 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9.22 | ↓ -91% |
| Aetna | Medicare | $9.39 | ↓ -90% |
| UPMC Health Plan | CHIP | $10.31 | ↓ -90% |
| UPMC Health Plan | Commercial | $10.51 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.78 | ↓ -74% |
| Aetna | Neighborhood Network | $28.74 | ↓ -71% |
| Aetna | Home Depot Employer Group | $31.36 | ↓ -68% |
| Aetna | NBR ASO/FI | $31.93 | ↓ -68% |
| Cigna | New Business ASO | $35.02 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $35.77 | ↓ -64% |
| Bravo | Medicare | $36.05 | ↓ -63% |
| Aetna | EBR FI | $39.14 | ↓ -60% |
| Cigna | Commercial | $41.20 | ↓ -58% |
| Aetna | EBR ASO | $41.20 | ↓ -58% |
| Coventry/First Health | Commercial | $45.32 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $47.18 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $48.52 | ↓ -51% |
| InterGroup | PPO | $51.50 | ↓ -48% |
| United Healthcare Community Plan for Families | PA Medicaid | $59.94 | ↓ -39% |
| Cigna Behavioral Health | Commercial | $61.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $63.18 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Indemnity | $64.98 | ↓ -34% |
| Private Health Care Systems | PPO | $77.25 | ↓ -21% |
| InterGroup | Approved National Affiliated PPO Business | $82.40 | ↓ -16% |
| American Healthcare Group | Commercial | $82.40 | ↓ -16% |
| National Provider Network | PPO | $84.46 | ↓ -14% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $92.70 | ↓ -6% |
| Health Payors Organization | Commercial | $92.70 | ↓ -6% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $143.40 | $5.39 – $201.45 |
| UPMC St. Margaret | Pittsburgh | $255.20 | $5.39 – $104.55 |
| UPMC Western Psychiatric | Pittsburgh | $143.40 | $8.54 – $201.45 |
| UPMC Northwest | Seneca | $111.20 | $5.39 – $109.17 |
| UPMC Somerset | Somerset | $641.40 | $8.45 – $24.75 |
| UPMC Williamsport | Williamsport | $160.00 | $8.54 – $178.20 |