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Porfimer sodium injection at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$105,045.60
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.
$175,076.00
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.
$4,829.04 with Highmark BCBS of PA vs $113,936.55 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,829.04 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8,641.85 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,735.10 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $11,574.18 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity | $11,698.79 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $22,515.47 | ↓ -79% |
| Highmark BCBS of PA | UPMC Emergent | $23,148.36 | ↓ -78% |
| Health Plan of Upper Ohio Valley | Medicaid | $24,228.42 | ↓ -77% |
| Health Plan of Upper Ohio Valley | Medicare | $24,228.42 | ↓ -77% |
| Aetna of PA | Medicare | $25,439.84 | ↓ -76% |
| United Healthcare | Unison Advantage Non Special Needs | $25,439.84 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $26,164.27 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $26,166.69 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26,166.69 | ↓ -75% |
| Aetna | Medicare | $26,651.26 | ↓ -75% |
| United Healthcare | Unison Advantage Special Needs | $26,651.26 | ↓ -75% |
| Cigna | New Business ASO | $45,574.62 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $48,242.08 | ↓ -54% |
| Cigna | Commercial | $53,617.20 | ↓ -49% |
| Private Health Care Systems | Workers' Comp | $56,097.00 | ↓ -47% |
| UPMC Health Plan | Commercial | $56,619.76 | ↓ -46% |
| Health Plan of Upper Ohio Valley | Commercial | $61,927.87 | ↓ -41% |
| PA Health & Wellness | PA Medicaid HMO | $73,723.65 | ↓ -30% |
| Coventry/First Health | Commercial | $93,830.10 | ↓ -11% |
| InterGroup | PPO | $111,255.69 | ↑ +6% |
| Humana | Commercial | $113,936.55 | ↑ +8% |
| Multiplan | PPO (Includes Workers' Comp) | $113,936.55 | ↑ +8% |
| Private Health Care Systems | PPO | $113,936.55 | ↑ +8% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Porfimer sodium injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $90,741.60 | $4,783.49 – $102,084.30 |
| UPMC Presbyterian | Pittsburgh | $105,045.60 | $4,829.04 – $148,814.60 |
| UPMC Western Psychiatric | Pittsburgh | $105,045.60 | $4,732.02 – $148,814.60 |
| UPMC Somerset | Somerset | $13,787.40 | $4,735.11 – $26,164.27 |