healthcosts.net
Injection, siltuximab at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$471.00
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.
?
What you pay up front if you don't use insurance.
$785.00
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.
$69.00 with Highmark BCBS of PA vs $507.51 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 | $69.00 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $104.71 | ↓ -78% |
| Cigna | New Business ASO | $153.34 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $154.11 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $162.31 | ↓ -66% |
| Health Plan of Upper Ohio Valley | Medicare | $165.83 | ↓ -65% |
| PA Health & Wellness | PA Medicaid HMO | $165.83 | ↓ -65% |
| Health Plan of Upper Ohio Valley | Medicaid | $165.83 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $165.83 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $165.83 | ↓ -65% |
| United Healthcare | Unison Advantage Non Special Needs | $174.12 | ↓ -63% |
| Aetna of PA | Medicare | $174.12 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $179.08 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $179.10 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $179.10 | ↓ -62% |
| Cigna | Commercial | $180.40 | ↓ -62% |
| Aetna | Medicare | $182.41 | ↓ -61% |
| United Healthcare | Unison Advantage Special Needs | $182.41 | ↓ -61% |
| Private Health Care Systems | Workers' Comp | $188.74 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $189.46 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $191.51 | ↓ -59% |
| UPMC Health Plan | Commercial | $203.97 | ↓ -57% |
| Health Plan of Upper Ohio Valley | Commercial | $208.36 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $253.75 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $256.49 | ↓ -46% |
| Coventry/First Health | Commercial | $315.70 | ↓ -33% |
| InterGroup | PPO | $374.33 | ↓ -21% |
| Private Health Care Systems | PPO | $383.35 | ↓ -19% |
| Multiplan | PPO (Includes Workers' Comp) | $383.35 | ↓ -19% |
| Humana | Commercial | $383.35 | ↓ -19% |
| Highmark BCBS of PA | UPMC Emergent | $507.51 | ↑ +8% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, siltuximab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $404.40 | $68.35 – $606.60 |
| UPMC Presbyterian | Pittsburgh | $15,318.00 | $69.00 – $306.00 |
| UPMC Northwest | Seneca | $410.40 | $104.71 – $581.40 |
| UPMC Somerset | Somerset | $3,603.00 | $67.66 – $1,125.75 |