healthcosts.net
Vutrisiran 25 mg/0.5 ml subcutaneous syringe at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$14,044.20
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.
$23,407.00
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.
$2,126.09 with Highmark BCBS of PA vs $15,638.03 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 | $2,126.09 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $3,159.30 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $4,649.88 | ↓ -67% |
| Health Plan of Upper Ohio Valley | Medicare | $5,003.64 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $5,003.64 | ↓ -64% |
| Health Plan of Upper Ohio Valley | Medicaid | $5,003.64 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,003.64 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,003.64 | ↓ -64% |
| United Healthcare | Unison Advantage Non Special Needs | $5,253.82 | ↓ -63% |
| Aetna of PA | Medicare | $5,253.82 | ↓ -63% |
| Cigna | New Business ASO | $5,311.82 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,403.43 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $5,403.93 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,403.93 | ↓ -62% |
| Aetna | Medicare | $5,504.00 | ↓ -61% |
| United Healthcare | Unison Advantage Special Needs | $5,504.00 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $5,622.72 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,838.06 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,901.06 | ↓ -58% |
| UPMC Health Plan | Commercial | $6,154.48 | ↓ -56% |
| Cigna | Commercial | $6,249.20 | ↓ -56% |
| Private Health Care Systems | Workers' Comp | $6,538.23 | ↓ -53% |
| Health Plan of Upper Ohio Valley | Commercial | $7,217.83 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $7,819.02 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,903.20 | ↓ -44% |
| Coventry/First Health | Commercial | $10,936.10 | ↓ -22% |
| InterGroup | PPO | $12,967.09 | ↓ -8% |
| Private Health Care Systems | PPO | $13,279.55 | ↓ -5% |
| Multiplan | PPO (Includes Workers' Comp) | $13,279.55 | ↓ -5% |
| Humana | Commercial | $13,279.55 | ↓ -5% |
| Highmark BCBS of PA | UPMC Emergent | $15,638.03 | ↑ +11% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Vutrisiran 25 mg/0.5 ml subcutaneous syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $13,248.60 | $2,126.09 – $18,768.85 |
| UPMC Northwest | Seneca | $9,373.80 | $3,159.30 – $13,279.55 |
| UPMC Somerset | Somerset | $143,221.20 | $2,084.74 – $179,026.50 |