healthcosts.net
Inj secukinumab intrav 1mg at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$42.80
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.
$53.50
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.
$6.86 with Highmark BCBS of PA vs $47.70 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.86 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $11.27 | ↓ -74% |
| Aetna | Neighborhood Network | $14.79 | ↓ -65% |
| UPMC Health Plan | Managed Medicare | $14.87 | ↓ -65% |
| Aetna | Home Depot Employer Group | $16.14 | ↓ -62% |
| Aetna | NBR ASO/FI | $16.43 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $17.84 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.84 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.84 | ↓ -58% |
| Cigna | New Business ASO | $18.02 | ↓ -58% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $18.31 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $18.41 | ↓ -57% |
| UPMC Health Plan | CHIP | $18.55 | ↓ -57% |
| Bravo | Medicare | $18.55 | ↓ -57% |
| Aetna of PA | Medicare | $18.73 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $19.27 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.27 | ↓ -55% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.27 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $19.52 | ↓ -54% |
| Aetna | Medicare | $19.62 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $20.07 | ↓ -53% |
| Aetna | EBR FI | $20.14 | ↓ -53% |
| Cigna | Commercial | $21.20 | ↓ -50% |
| Aetna | EBR ASO | $21.20 | ↓ -50% |
| UPMC Health Plan | Commercial | $21.95 | ↓ -49% |
| Coventry/First Health | Commercial | $23.32 | ↓ -46% |
| Highmark BCBS of PA | Managed Care | $26.14 | ↓ -39% |
| InterGroup | PPO | $26.50 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Indemnity | $26.88 | ↓ -37% |
| Cigna Behavioral Health | Commercial | $31.80 | ↓ -26% |
| Private Health Care Systems | PPO | $39.75 | ↓ -7% |
| InterGroup | Approved National Affiliated PPO Business | $42.40 | ↓ -1% |
| American Healthcare Group | Commercial | $42.40 | ↓ -1% |
| National Provider Network | PPO | $43.46 | ↑ +2% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $47.70 | ↑ +11% |
| Health Payors Organization | Commercial | $47.70 | ↑ +11% |
Visitor-reported prices
Comments
Inj secukinumab intrav 1mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $43.50 | $11.27 – $45.05 |
| UPMC Presbyterian | Pittsburgh | $43.50 | $6.92 – $61.20 |
| UPMC Western Psychiatric | Pittsburgh | $43.50 | $17.84 – $61.62 |
| UPMC Northwest | Seneca | $42.80 | $11.27 – $45.05 |
| UPMC Somerset | Somerset | $253.80 | $6.79 – $317.25 |
| UPMC Williamsport | Williamsport | $31.80 | $14.37 – $47.70 |