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Alteplase 100 mg infusion from pyxis vial at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$540.80
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.
$20,518.05
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.
$49.03 with Highmark BCBS of PA vs $378.17 with Highmark BCBS of PA — 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 | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $49.03 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $59.63 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $81.55 | ↓ -85% |
| Aetna | Neighborhood Network | $90.97 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $93.25 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $94.45 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $94.45 | ↓ -83% |
| Aetna | Home Depot Employer Group | $98.91 | ↓ -82% |
| Aetna of PA | Medicare | $99.17 | ↓ -82% |
| Aetna | NBR ASO/FI | $101.08 | ↓ -81% |
| Cigna | New Business ASO | $101.08 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $102.00 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $102.01 | ↓ -81% |
| Aetna | Medicare | $103.89 | ↓ -81% |
| UPMC Health Plan | Commercial | $116.17 | ↓ -79% |
| Aetna | EBR FI | $137.18 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $141.19 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $141.92 | ↓ -74% |
| Aetna | EBR ASO | $144.40 | ↓ -73% |
| Cigna | Commercial | $144.40 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $189.09 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Indemnity | $190.07 | ↓ -65% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $195.25 | ↓ -64% |
| Coventry/First Health | Commercial | $252.70 | ↓ -53% |
| Private Health Care Systems | PPO | $288.80 | ↓ -47% |
| SelectCare | Commercial | $288.80 | ↓ -47% |
| Humana | Commercial | $306.85 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $378.17 | ↓ -30% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Alteplase 100 mg infusion from pyxis vial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $612.00 | $48.57 – $212.40 |
| UPMC Presbyterian | Pittsburgh | $285.00 | $49.03 – $346.80 |
| UPMC Western Psychiatric | Pittsburgh | $285.00 | $48.05 – $370.60 |
| UPMC Passavant-McCandless | Pittsburgh | $39,117.00 | $49.03 – $255.85 |
| UPMC Somerset | Somerset | $5,280.00 | $29.63 – $94.45 |
| UPMC Williamsport | Williamsport | $543.20 | $94.45 – $531.90 |
| UPMC Muncy | Muncy | $40,758.00 | $88.65 – $531.90 |
| UPMC Wellsboro | Wellsboro | $40,758.00 | $94.45 – $531.90 |