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Bendamustine 100 mg intravenous powder for solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$214.20
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.
$357.00
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.
$1.19 with UPMC Health Plan vs $303.45 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 | $1.19 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $1.62 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.88 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $1.88 | ↓ -99% |
| Aetna of PA | Medicare | $1.97 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.03 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2.03 | ↓ -99% |
| Aetna | Medicare | $2.07 | ↓ -99% |
| UPMC Health Plan | Commercial | $2.32 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $38.51 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $71.16 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $71.53 | ↓ -67% |
| Aetna | Neighborhood Network | $89.96 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $92.21 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $95.30 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity | $95.80 | ↓ -55% |
| Aetna | Home Depot Employer Group | $97.82 | ↓ -54% |
| Aetna | NBR ASO/FI | $99.96 | ↓ -53% |
| Cigna | New Business ASO | $99.96 | ↓ -53% |
| Aetna | EBR FI | $135.66 | ↓ -37% |
| Aetna | EBR ASO | $142.80 | ↓ -33% |
| Cigna | Commercial | $142.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $190.61 | ↓ -11% |
| Coventry/First Health | Commercial | $249.90 | ↑ +17% |
| Private Health Care Systems | PPO | $285.60 | ↑ +33% |
| SelectCare | Commercial | $285.60 | ↑ +33% |
| Humana | Commercial | $303.45 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Bendamustine 100 mg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $53.40 | $1.19 – $75.65 |
| UPMC Presbyterian | Pittsburgh | $19,878.00 | $1.19 – $299.20 |
| UPMC Northwest | Seneca | $56.40 | $1.19 – $79.90 |
| UPMC Somerset | Somerset | $1,782.60 | $1.86 – $556.50 |