healthcosts.net
Rasburicase 1.5 mg intravenous solution at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$9,544.20
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.
$15,907.00
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.
$238.37 with UPMC Health Plan vs $4,772.70 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 | $238.37 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $314.70 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $377.52 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $377.52 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $377.52 | ↓ -96% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $387.41 | ↓ -96% |
| Aetna of PA | Medicare | $396.40 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $407.72 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $407.72 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $407.72 | ↓ -96% |
| Aetna | Medicare | $415.27 | ↓ -96% |
| UPMC Health Plan | CHIP | $426.17 | ↓ -96% |
| UPMC Health Plan | Commercial | $464.35 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $657.79 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,097.68 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,128.87 | ↓ -88% |
| Highmark BCBS of PA | Managed Care | $1,470.11 | ↓ -85% |
| Aetna | Neighborhood Network | $1,479.54 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,511.95 | ↓ -84% |
| Aetna | Home Depot Employer Group | $1,614.76 | ↓ -83% |
| Aetna | NBR ASO/FI | $1,643.93 | ↓ -83% |
| Cigna | New Business ASO | $1,803.02 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $1,841.73 | ↓ -81% |
| Bravo | Medicare | $1,856.05 | ↓ -81% |
| Aetna | EBR FI | $2,015.14 | ↓ -79% |
| Cigna | Commercial | $2,121.20 | ↓ -78% |
| Aetna | EBR ASO | $2,121.20 | ↓ -78% |
| Coventry/First Health | Commercial | $2,333.32 | ↓ -76% |
| InterGroup | PPO | $2,651.50 | ↓ -72% |
| Cigna Behavioral Health | Commercial | $3,181.80 | ↓ -67% |
| Private Health Care Systems | PPO | $3,977.25 | ↓ -58% |
| InterGroup | Approved National Affiliated PPO Business | $4,242.40 | ↓ -56% |
| American Healthcare Group | Commercial | $4,242.40 | ↓ -56% |
| National Provider Network | PPO | $4,348.46 | ↓ -54% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,772.70 | ↓ -50% |
| Health Payors Organization | Commercial | $4,772.70 | ↓ -50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rasburicase 1.5 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $12,075.00 | $238.37 – $3,722.15 |
| UPMC Presbyterian | Pittsburgh | $14,877.60 | $238.37 – $7,025.25 |
| UPMC St. Margaret | Pittsburgh | $11,067.00 | $238.37 – $5,225.80 |
| UPMC Western Psychiatric | Pittsburgh | $4,959.00 | $377.52 – $7,025.25 |
| UPMC Muncy | Muncy | $3,833.40 | $319.50 – $1,917.00 |
| UPMC Northwest | Seneca | $11,391.60 | $238.37 – $1,160.25 |
| UPMC Somerset | Somerset | $644.40 | $361.62 – $805.50 |
| UPMC Wellsboro | Wellsboro | $3,833.40 | $377.52 – $1,917.00 |