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Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution 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.
$2,824.90
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.
$56.41 with UPMC Health Plan vs $2,401.16 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 | $56.41 | — |
| UPMC Health Plan | Managed Medicare | $77.14 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $89.34 | — |
| PA Health & Wellness | PA Medicaid HMO | $89.34 | — |
| Aetna of PA | Medicare | $93.81 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $96.48 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $96.49 | — |
| Aetna | Medicare | $98.27 | — |
| UPMC Health Plan | Commercial | $109.89 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $128.41 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $255.10 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $256.41 | — |
| Highmark BCBS of PA | Managed Care | $341.63 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $343.40 | — |
| Highmark BCBS of PA | UPMC Emergent | $683.26 | — |
| Aetna | Neighborhood Network | $711.87 | — |
| UPMC Work Partners | Workers Comp | $729.67 | — |
| Aetna | Home Depot Employer Group | $774.02 | — |
| Aetna | NBR ASO/FI | $790.97 | — |
| Cigna | New Business ASO | $790.97 | — |
| Aetna | EBR FI | $1,073.46 | — |
| Aetna | EBR ASO | $1,129.96 | — |
| Cigna | Commercial | $1,129.96 | — |
| Coventry/First Health | Commercial | $1,977.43 | — |
| Private Health Care Systems | PPO | $2,259.92 | — |
| SelectCare | Commercial | $2,259.92 | — |
| Humana | Commercial | $2,401.16 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $277.80 | $56.41 – $416.70 |
| UPMC Passavant-McCandless | Pittsburgh | $387.60 | $56.41 – $549.10 |
| UPMC Northwest | Seneca | $345.60 | $56.41 – $489.60 |
| UPMC Somerset | Somerset | $820.80 | $88.45 – $528.75 |
| UPMC Wellsboro | Wellsboro | $509.40 | $89.34 – $764.10 |
| UPMC Williamsport | Williamsport | $509.40 | $89.34 – $764.10 |