healthcosts.net
Inj. tagraxofusp-erzs 10 mcg at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$544.80
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.
$908.00
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.
$164.48 with Highmark BCBS of PA vs $1,209.76 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 | $164.48 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $225.37 | ↓ -59% |
| Cigna | New Business ASO | $308.72 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $326.79 | ↓ -40% |
| UPMC Health Plan | Managed Medicare | $331.70 | ↓ -39% |
| Health Plan of Upper Ohio Valley | Medicare | $356.93 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $356.93 | ↓ -34% |
| Health Plan of Upper Ohio Valley | Medicaid | $356.93 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicaid | $356.93 | ↓ -34% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $356.93 | ↓ -34% |
| Cigna | Commercial | $363.20 | ↓ -33% |
| United Healthcare | Unison Advantage Non Special Needs | $374.78 | ↓ -31% |
| Aetna of PA | Medicare | $374.78 | ↓ -31% |
| Private Health Care Systems | Workers' Comp | $380.00 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $385.45 | ↓ -29% |
| AmeriHealth Caritas | Medicare | $385.48 | ↓ -29% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $385.48 | ↓ -29% |
| Aetna | Medicare | $392.62 | ↓ -28% |
| United Healthcare | Unison Advantage Special Needs | $392.62 | ↓ -28% |
| Health Plan of Upper Ohio Valley | Commercial | $419.50 | ↓ -23% |
| UPMC Health Plan | Commercial | $439.02 | ↓ -19% |
| Highmark BCBS of PA | Managed Care - Social Mission | $451.63 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $456.51 | ↓ -16% |
| Highmark BCBS of PA | Managed Care | $604.88 | ↑ +11% |
| Highmark BCBS of PA | Commercial - Indemnity | $611.39 | ↑ +12% |
| Coventry/First Health | Commercial | $635.60 | ↑ +17% |
| InterGroup | PPO | $753.64 | ↑ +38% |
| Private Health Care Systems | PPO | $771.80 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $771.80 | ↑ +42% |
| Humana | Commercial | $771.80 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $1,209.76 | ↑ +122% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj. tagraxofusp-erzs 10 mcg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $560.40 | $162.92 – $840.60 |
| UPMC Presbyterian | Pittsburgh | $84,002.40 | $164.48 – $1,262.25 |
| UPMC St. Margaret | Pittsburgh | $560.40 | $164.48 – $793.90 |
| UPMC Northwest | Seneca | $544.80 | $225.37 – $771.80 |
| UPMC Williamsport | Williamsport | $540.00 | $244.08 – $810.00 |