healthcosts.net
Efgartigimod alfa-fcab 20 mg/ml intravenous solution at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$85.80
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.
?
What you pay up front if you don't use insurance.
$143.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.64 with Highmark BCBS of PA vs $100.34 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.64 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $20.30 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $29.88 | ↓ -65% |
| Health Plan of Upper Ohio Valley | Medicare | $32.15 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $32.15 | ↓ -63% |
| Health Plan of Upper Ohio Valley | Medicaid | $32.15 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $32.15 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.15 | ↓ -63% |
| United Healthcare | Unison Advantage Non Special Needs | $33.76 | ↓ -61% |
| Aetna of PA | Medicare | $33.76 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $34.72 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $34.72 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $34.72 | ↓ -60% |
| Aetna | Medicare | $35.37 | ↓ -59% |
| United Healthcare | Unison Advantage Special Needs | $35.37 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $37.46 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $37.86 | ↓ -56% |
| Cigna | New Business ASO | $38.08 | ↓ -56% |
| UPMC Health Plan | Commercial | $39.54 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $40.31 | ↓ -53% |
| Cigna | Commercial | $44.80 | ↓ -48% |
| Private Health Care Systems | Workers' Comp | $46.87 | ↓ -45% |
| Highmark BCBS of PA | Managed Care | $50.17 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $50.71 | ↓ -41% |
| Health Plan of Upper Ohio Valley | Commercial | $51.74 | ↓ -40% |
| Coventry/First Health | Commercial | $78.40 | ↓ -9% |
| InterGroup | PPO | $92.96 | ↑ +8% |
| Private Health Care Systems | PPO | $95.20 | ↑ +11% |
| Multiplan | PPO (Includes Workers' Comp) | $95.20 | ↑ +11% |
| Humana | Commercial | $95.20 | ↑ +11% |
| Highmark BCBS of PA | UPMC Emergent | $100.34 | ↑ +17% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Efgartigimod alfa-fcab 20 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $85.80 | $13.64 – $121.55 |
| UPMC St. Margaret | Pittsburgh | $85.60 | $13.64 – $90.95 |
| UPMC Western Psychiatric | Pittsburgh | $85.80 | $13.37 – $121.55 |
| UPMC Muncy | Muncy | $79.20 | $14.85 – $89.10 |
| UPMC Northwest | Seneca | $67.20 | $20.30 – $95.20 |
| UPMC Somerset | Somerset | $185.40 | $13.38 – $231.75 |
| UPMC Wellsboro | Wellsboro | $79.20 | $17.82 – $89.10 |
| UPMC Williamsport | Williamsport | $79.20 | $26.85 – $89.10 |