healthcosts.net
Ixabepilone 15 mg intravenous solution at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$721.20
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.
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What you pay up front if you don't use insurance.
$1,202.00
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.
$87.90 with UPMC Health Plan vs $1,021.70 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $87.90 | ↓ -88% |
| Highmark BCBS of PA | Medicare Advantage | $131.49 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $139.21 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $139.21 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $139.21 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $139.21 | ↓ -81% |
| Aetna | CHIP/Medicaid | $147.56 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $150.35 | ↓ -79% |
| United Healthcare | Medicare | $150.35 | ↓ -79% |
| Cigna Lifesource | Medicare Transplant | $150.35 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $150.35 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $150.35 | ↓ -79% |
| Aetna | Medicare | $153.13 | ↓ -79% |
| Aetna of PA | Medicare | $153.13 | ↓ -79% |
| UPMC Health Plan | Commercial | $171.23 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $262.21 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $269.67 | ↓ -63% |
| Highmark BCBS of PA | Managed Care | $351.18 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity | $361.17 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $392.81 | ↓ -46% |
| Multiplan | Worker's Compensation | $456.76 | ↓ -37% |
| Highmark BCBS of PA | UPMC Emergent | $702.36 | ↓ -3% |
| Preferred Healthcare System | PPO | $781.30 | ↑ +8% |
| Coventry/First Health | Commercial | $841.40 | ↑ +17% |
| Fidelis | Medicare | $901.50 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $901.50 | ↑ +25% |
| Health Coalition Partners | Intergroup | $961.60 | ↑ +33% |
| Private Health Care Systems | PPO | $961.60 | ↑ +33% |
| SelectCare | Commercial | $961.60 | ↑ +33% |
| Multiplan | PPO | $961.60 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $1,021.70 | ↑ +42% |
| Health Payors Organization | Commercial | $1,021.70 | ↑ +42% |
| Humana | Commercial | $1,021.70 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ixabepilone 15 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $272.40 | $87.90 – $408.60 |
| UPMC Passavant-McCandless | Pittsburgh | $399.60 | $87.90 – $505.75 |
| UPMC St. Margaret | Pittsburgh | $281.40 | $87.90 – $398.65 |
| UPMC Northwest | Seneca | $680.40 | $83.78 – $197.20 |
| UPMC Somerset | Somerset | $3,484.80 | $128.93 – $1,452.00 |
| UPMC Williamsport | Williamsport | $361.20 | $139.21 – $541.80 |
| UPMC Muncy | Muncy | $16,246.20 | $90.30 – $541.80 |
| UPMC Wellsboro | Wellsboro | $16,246.20 | $108.36 – $541.80 |