healthcosts.net
Rasburicase 1.5 mg intravenous solution at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$14,877.60
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.
?
What you pay up front if you don't use insurance.
$24,796.00
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.
$238.37 with UPMC Health Plan vs $7,025.25 with Humana — 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 | $238.37 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $377.52 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $377.52 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $377.52 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $377.52 | ↓ -97% |
| Aetna | CHIP/Medicaid | $400.17 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $407.72 | ↓ -97% |
| United Healthcare | Medicare | $407.72 | ↓ -97% |
| Cigna Lifesource | Medicare Transplant | $407.72 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $407.72 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $407.72 | ↓ -97% |
| Aetna | Medicare | $415.27 | ↓ -97% |
| Aetna of PA | Medicare | $415.27 | ↓ -97% |
| UPMC Health Plan | Commercial | $464.35 | ↓ -97% |
| Highmark BCBS of PA | Medicare Advantage | $664.06 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,219.63 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,254.31 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $1,633.44 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,679.89 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $2,701.00 | ↓ -82% |
| Multiplan | Worker's Compensation | $3,140.70 | ↓ -79% |
| Highmark BCBS of PA | UPMC Emergent | $3,266.89 | ↓ -78% |
| Preferred Healthcare System | PPO | $5,372.25 | ↓ -64% |
| Coventry/First Health | Commercial | $5,785.50 | ↓ -61% |
| Fidelis | Medicare | $6,198.75 | ↓ -58% |
| InterGroup | InterGroup Services Corporation | $6,198.75 | ↓ -58% |
| Health Coalition Partners | Intergroup | $6,612.00 | ↓ -56% |
| Private Health Care Systems | PPO | $6,612.00 | ↓ -56% |
| SelectCare | Commercial | $6,612.00 | ↓ -56% |
| Multiplan | PPO | $6,612.00 | ↓ -56% |
| InterGroup | Approved National Affiliated PPO Business | $7,025.25 | ↓ -53% |
| Health Payors Organization | Commercial | $7,025.25 | ↓ -53% |
| Humana | Commercial | $7,025.25 | ↓ -53% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rasburicase 1.5 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $9,544.20 | $238.37 – $4,772.70 |
| UPMC Passavant-McCandless | Pittsburgh | $12,075.00 | $238.37 – $3,722.15 |
| UPMC St. Margaret | Pittsburgh | $11,067.00 | $238.37 – $5,225.80 |
| UPMC Western Psychiatric | Pittsburgh | $4,959.00 | $377.52 – $7,025.25 |
| UPMC Muncy | Muncy | $3,833.40 | $319.50 – $1,917.00 |
| UPMC Northwest | Seneca | $11,391.60 | $238.37 – $1,160.25 |
| UPMC Somerset | Somerset | $644.40 | $361.62 – $805.50 |
| UPMC Wellsboro | Wellsboro | $3,833.40 | $377.52 – $1,917.00 |