healthcosts.net
Etanercept injection at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,801.80
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.
$3,003.00
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.
$245.13 with Highmark BCBS of PA vs $2,278.11 with United Healthcare Community Plan for Families — 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 | $245.13 | ↓ -86% |
| Cigna | New Business ASO | $398.82 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $422.16 | ↓ -77% |
| Cigna | Commercial | $469.20 | ↓ -74% |
| Private Health Care Systems | Workers' Comp | $490.90 | ↓ -73% |
| UPMC Health Plan | Commercial | $495.48 | ↓ -73% |
| Health Plan of Upper Ohio Valley | Commercial | $541.93 | ↓ -70% |
| PA Health & Wellness | PA Medicaid HMO | $645.15 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $673.10 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $680.36 | ↓ -62% |
| Coventry/First Health | Commercial | $821.10 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $901.49 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $911.20 | ↓ -49% |
| InterGroup | PPO | $973.59 | ↓ -46% |
| Humana | Commercial | $997.05 | ↓ -45% |
| Multiplan | PPO (Includes Workers' Comp) | $997.05 | ↓ -45% |
| Private Health Care Systems | PPO | $997.05 | ↓ -45% |
| UPMC Health Plan | Managed Medicare | $1,004.46 | ↓ -44% |
| Health Plan of Upper Ohio Valley | Medicaid | $1,080.88 | ↓ -40% |
| Health Plan of Upper Ohio Valley | Medicare | $1,080.88 | ↓ -40% |
| Aetna of PA | Medicare | $1,134.92 | ↓ -37% |
| United Healthcare | Unison Advantage Non Special Needs | $1,134.92 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,167.24 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $1,167.35 | ↓ -35% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,167.35 | ↓ -35% |
| Aetna | Medicare | $1,188.97 | ↓ -34% |
| United Healthcare | Unison Advantage Special Needs | $1,188.97 | ↓ -34% |
| Highmark BCBS of PA | UPMC Emergent | $1,802.98 | ↑ +0% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $2,080.02 | ↑ +15% |
| United Healthcare Community Plan for Families | Unison Kids | $2,278.11 | ↑ +26% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Etanercept injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,119.00 | $242.82 – $2,278.11 |
| UPMC Presbyterian | Pittsburgh | $1,801.80 | $245.13 – $2,551.70 |
| UPMC St. Margaret | Pittsburgh | $1,801.20 | $245.13 – $2,179.06 |
| UPMC Western Psychiatric | Pittsburgh | $1,801.80 | $240.20 – $2,551.70 |