healthcosts.net
Factor viii recomb novoeight at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$3.15
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.
$5.25
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.
$0.97 with UPMC Health Plan vs $10.70 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $0.97 | ↓ -69% |
| Highmark BCBS of PA | Medicare Advantage | $1.28 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $1.54 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.54 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.54 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.54 | ↓ -51% |
| Aetna | CHIP/Medicaid | $1.63 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $1.63 | ↓ -48% |
| AmeriHealth Caritas | Medicare | $1.66 | ↓ -47% |
| United Healthcare | Medicare | $1.66 | ↓ -47% |
| Cigna Lifesource | Medicare Transplant | $1.66 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.66 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1.66 | ↓ -47% |
| Aetna | Medicare | $1.69 | ↓ -46% |
| Aetna of PA | Medicare | $1.69 | ↓ -46% |
| UPMC Health Plan | Commercial | $1.89 | ↓ -40% |
| Multiplan | Worker's Compensation | $1.90 | ↓ -40% |
| Preferred Healthcare System | PPO | $3.25 | ↑ +3% |
| Coventry/First Health | Commercial | $3.50 | ↑ +11% |
| Fidelis | Medicare | $3.75 | ↑ +19% |
| InterGroup | InterGroup Services Corporation | $3.75 | ↑ +19% |
| Health Coalition Partners | Intergroup | $4.00 | ↑ +27% |
| Private Health Care Systems | PPO | $4.00 | ↑ +27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4.00 | ↑ +27% |
| SelectCare | Commercial | $4.00 | ↑ +27% |
| Multiplan | PPO | $4.00 | ↑ +27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4.11 | ↑ +30% |
| InterGroup | Approved National Affiliated PPO Business | $4.25 | ↑ +35% |
| Health Payors Organization | Commercial | $4.25 | ↑ +35% |
| Humana | Commercial | $4.25 | ↑ +35% |
| Highmark BCBS of PA | Managed Care | $5.35 | ↑ +70% |
| Highmark BCBS of PA | Commercial - Indemnity | $5.50 | ↑ +75% |
| Highmark BCBS of PA | UPMC Emergent | $10.70 | ↑ +240% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Factor viii recomb novoeight at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3.40 | $0.97 – $3.60 |
| UPMC Passavant-McCandless | Pittsburgh | $3.15 | $0.97 – $4.25 |
| UPMC Western Psychiatric | Pittsburgh | $3.15 | $1.25 – $4.46 |
| UPMC Muncy | Muncy | $3.40 | $0.64 – $3.83 |
| UPMC Somerset | Somerset | $2,592.00 | $1.25 – $1,620.00 |
| UPMC Wellsboro | Wellsboro | $3.40 | $0.77 – $3.83 |
| UPMC Williamsport | Williamsport | $3.40 | $1.08 – $3.60 |