healthcosts.net
Eculizumab 300 mg/30 ml intravenous solution at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$414.00
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.
$690.00
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.
$4.42 with Cigna vs $55.13 with UPMC Health Plan — 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 |
|---|---|---|---|
| Cigna | New Business ASO | $4.42 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $4.68 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Indemnity | $5.07 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5.07 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $5.07 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5.07 | ↓ -99% |
| Cigna | Commercial | $5.20 | ↓ -99% |
| Private Health Care Systems | Workers' Comp | $5.44 | ↓ -99% |
| Health Plan of Upper Ohio Valley | Commercial | $6.01 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.50 | ↓ -98% |
| Coventry/First Health | Commercial | $9.10 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $10.14 | ↓ -98% |
| InterGroup | PPO | $10.79 | ↓ -97% |
| Humana | Commercial | $11.05 | ↓ -97% |
| Multiplan | PPO (Includes Workers' Comp) | $11.05 | ↓ -97% |
| Private Health Care Systems | PPO | $11.05 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $28.30 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $41.65 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.82 | ↓ -89% |
| Health Plan of Upper Ohio Valley | Medicaid | $44.82 | ↓ -89% |
| Health Plan of Upper Ohio Valley | Medicare | $44.82 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.82 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $44.82 | ↓ -89% |
| Aetna of PA | Medicare | $47.06 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $47.06 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $48.40 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $48.41 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $48.41 | ↓ -88% |
| Aetna | Medicare | $49.30 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $49.30 | ↓ -88% |
| UPMC Health Plan | Commercial | $55.13 | ↓ -87% |
Visitor-reported prices
Comments
Eculizumab 300 mg/30 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $657.60 | $28.30 – $739.80 |
| UPMC Presbyterian | Pittsburgh | $414.00 | $28.30 – $586.50 |
| UPMC Western Psychiatric | Pittsburgh | $414.00 | $44.82 – $586.50 |
| UPMC Muncy | Muncy | $268.80 | $44.82 – $302.40 |
| UPMC Somerset | Somerset | $130.20 | $44.37 – $162.75 |
| UPMC Wellsboro | Wellsboro | $268.80 | $44.82 – $302.40 |
| UPMC Williamsport | Williamsport | $268.80 | $44.82 – $302.40 |