healthcosts.net
Sacituzumab govitecan-hziy 180 mg intravenous solution at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$5,345.40
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.
$8,909.00
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.
$22.24 with Highmark BCBS of PA vs $163.56 with Highmark BCBS of PA — 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 | $22.24 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $22.90 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $33.72 | ↓ -99% |
| Health Plan of Upper Ohio Valley | Medicare | $36.28 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $36.28 | ↓ -99% |
| Health Plan of Upper Ohio Valley | Medicaid | $36.28 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.28 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.28 | ↓ -99% |
| United Healthcare | Unison Advantage Non Special Needs | $38.09 | ↓ -99% |
| Aetna of PA | Medicare | $38.09 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $39.18 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $39.18 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $39.18 | ↓ -99% |
| Aetna | Medicare | $39.91 | ↓ -99% |
| United Healthcare | Unison Advantage Special Needs | $39.91 | ↓ -99% |
| Cigna | New Business ASO | $40.12 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $42.47 | ↓ -99% |
| UPMC Health Plan | Commercial | $44.62 | ↓ -99% |
| Cigna | Commercial | $47.20 | ↓ -99% |
| Private Health Care Systems | Workers' Comp | $49.38 | ↓ -99% |
| Health Plan of Upper Ohio Valley | Commercial | $54.52 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $61.06 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $61.72 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $81.78 | ↓ -98% |
| Coventry/First Health | Commercial | $82.60 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $82.66 | ↓ -98% |
| InterGroup | PPO | $97.94 | ↓ -98% |
| Private Health Care Systems | PPO | $100.30 | ↓ -98% |
| Multiplan | PPO (Includes Workers' Comp) | $100.30 | ↓ -98% |
| Humana | Commercial | $100.30 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $163.56 | ↓ -97% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sacituzumab govitecan-hziy 180 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,043.00 | $20.68 – $66.72 |
| UPMC Presbyterian | Pittsburgh | $6,723.60 | $22.24 – $9,525.10 |
| UPMC St. Margaret | Pittsburgh | $5,043.00 | $18.68 – $63.01 |
| UPMC Muncy | Muncy | $66.60 | $16.65 – $99.90 |
| UPMC Northwest | Seneca | $5,043.00 | $22.90 – $63.01 |
| UPMC Somerset | Somerset | $1,441.80 | $21.80 – $1,802.25 |
| UPMC Wellsboro | Wellsboro | $67.20 | $19.98 – $99.90 |
| UPMC Williamsport | Williamsport | $4,810.20 | $30.37 – $100.80 |