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Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$19,744.65
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.
$33.05 with Highmark BCBS of PA vs $16,782.95 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $33.05 | — |
| UPMC Health Plan | Managed Medicaid | $35.09 | — |
| UPMC Health Plan | Managed Medicare | $47.98 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.57 | — |
| PA Health & Wellness | PA Medicaid HMO | $55.57 | — |
| Aetna of PA | Medicare | $58.35 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $60.01 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $60.02 | — |
| Aetna | Medicare | $61.13 | — |
| UPMC Health Plan | Commercial | $68.35 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $95.16 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $95.64 | — |
| Highmark BCBS of PA | Managed Care | $127.43 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $128.09 | — |
| Highmark BCBS of PA | UPMC Emergent | $254.87 | — |
| Aetna | Neighborhood Network | $4,975.65 | — |
| UPMC Work Partners | Workers Comp | $5,100.04 | — |
| Aetna | Home Depot Employer Group | $5,410.03 | — |
| Aetna | NBR ASO/FI | $5,528.50 | — |
| Cigna | New Business ASO | $5,528.50 | — |
| Aetna | EBR FI | $7,502.97 | — |
| Aetna | EBR ASO | $7,897.86 | — |
| Cigna | Commercial | $7,897.86 | — |
| Coventry/First Health | Commercial | $13,821.25 | — |
| Private Health Care Systems | PPO | $15,795.72 | — |
| SelectCare | Commercial | $15,795.72 | — |
| Humana | Commercial | $16,782.95 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $109.20 | $32.73 – $163.80 |
| UPMC Passavant-McCandless | Pittsburgh | $134.40 | $33.05 – $154.70 |
| UPMC Presbyterian | Pittsburgh | $134.40 | $33.05 – $190.40 |
| UPMC Western Psychiatric | Pittsburgh | $134.40 | $32.38 – $190.40 |
| UPMC Northwest | Seneca | $109.20 | $35.09 – $154.70 |
| UPMC Somerset | Somerset | $387.60 | $32.40 – $484.50 |
| UPMC Wellsboro | Wellsboro | $104.40 | $31.32 – $156.60 |
| UPMC Williamsport | Williamsport | $104.40 | $47.19 – $156.60 |