healthcosts.net
Pemetrexed disodium 100 mg intravenous powder for solution at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$205.60
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.
$261.15
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.
$2.75 with UPMC Health Plan vs $226.35 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 Health Plan | Managed Medicaid | $2.75 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $3.63 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $4.36 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.36 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.36 | ↓ -98% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.47 | ↓ -98% |
| Aetna of PA | Medicare | $4.58 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $4.71 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.71 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.71 | ↓ -98% |
| Aetna | Medicare | $4.80 | ↓ -98% |
| UPMC Health Plan | CHIP | $5.07 | ↓ -98% |
| UPMC Health Plan | Commercial | $5.36 | ↓ -97% |
| Aetna | Neighborhood Network | $7.41 | ↓ -96% |
| Aetna | Home Depot Employer Group | $8.08 | ↓ -96% |
| Aetna | NBR ASO/FI | $8.23 | ↓ -96% |
| Cigna | New Business ASO | $9.03 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $9.22 | ↓ -96% |
| Bravo | Medicare | $9.29 | ↓ -95% |
| Aetna | EBR FI | $10.09 | ↓ -95% |
| Cigna | Commercial | $10.62 | ↓ -95% |
| Aetna | EBR ASO | $10.62 | ↓ -95% |
| Coventry/First Health | Commercial | $11.68 | ↓ -94% |
| InterGroup | PPO | $13.28 | ↓ -94% |
| Cigna Behavioral Health | Commercial | $15.93 | ↓ -92% |
| Private Health Care Systems | PPO | $19.91 | ↓ -90% |
| InterGroup | Approved National Affiliated PPO Business | $21.24 | ↓ -90% |
| American Healthcare Group | Commercial | $21.24 | ↓ -90% |
| National Provider Network | PPO | $21.77 | ↓ -89% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $23.89 | ↓ -88% |
| Health Payors Organization | Commercial | $23.89 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $86.08 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $164.33 | ↓ -20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $169.00 | ↓ -18% |
| Highmark BCBS of PA | Managed Care | $220.08 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Indemnity | $226.35 | ↑ +10% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pemetrexed disodium 100 mg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,483.40 | $2.75 – $235.45 |
| UPMC Presbyterian | Pittsburgh | $23,822.40 | $2.75 – $674.90 |
| UPMC Western Psychiatric | Pittsburgh | $476.40 | $4.36 – $674.90 |
| UPMC St. Margaret | Pittsburgh | not published | $2.75 – $86.90 |
| UPMC Muncy | Muncy | $15,666.00 | $4.36 – $469.80 |
| UPMC Northwest | Seneca | $379.20 | $2.75 – $22.57 |
| UPMC Somerset | Somerset | $2,425.80 | $4.32 – $22.50 |
| UPMC Wellsboro | Wellsboro | $15,666.00 | $4.36 – $469.80 |