Injection, caplacizumab-yhdp at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$26,607.60
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.
$44,346.00
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.
$386.30 with Highmark BCBS of PA vs $3,426.35 with InterGroup — 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 | Medicare Advantage | $386.30 | ↓ -99% |
| Aetna | CHIP/Medicaid | $725.58 | ↓ -97% |
| Aetna | Medicare | $1,007.75 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,209.76 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,244.16 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $1,317.33 | ↓ -95% |
| Multiplan | Worker's Compensation | $1,531.78 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $1,620.22 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,666.29 | ↓ -94% |
| UPMC Health Plan | Commercial | $1,890.14 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,015.50 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $2,217.05 | ↓ -92% |
| Preferred Healthcare System | PPO | $2,620.15 | ↓ -90% |
| Coventry/First Health | Commercial | $2,821.70 | ↓ -89% |
| Fidelis | Medicare | $3,023.25 | ↓ -89% |
| InterGroup | InterGroup Services Corporation | $3,023.25 | ↓ -89% |
| Multiplan | PPO | $3,224.80 | ↓ -88% |
| Private Health Care Systems | PPO | $3,224.80 | ↓ -88% |
| Health Coalition Partners | Intergroup | $3,224.80 | ↓ -88% |
| SelectCare | Commercial | $3,224.80 | ↓ -88% |
| Highmark BCBS of PA | UPMC Emergent | $3,240.44 | ↓ -88% |
| Humana | Commercial | $3,426.35 | ↓ -87% |
| Health Payors Organization | Commercial | $3,426.35 | ↓ -87% |
| InterGroup | Approved National Affiliated PPO Business | $3,426.35 | ↓ -87% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $18,826.20 | $386.30 – $808.36 |
| UPMC Mercy | Pittsburgh | $19,956.00 | $382.65 – $382.65 |
| UPMC Passavant-McCandless | Pittsburgh | $21,153.60 | $386.30 – $386.30 |
| UPMC Western Psychiatric | Pittsburgh | $2,418.60 | $378.54 – $378.54 |
| UPMC Altoona | Altoona | $18,673.20 | $382.65 – $24,897.60 |
| UPMC Bedford | Everett | $19,956.00 | $1,061.15 – $29,934.00 |
| UPMC East | Monroeville | $19,956.00 | $321.84 – $2,152.80 |
| UPMC Hamot | Erie | $20,647.20 | $382.65 – $2,023.77 |