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Etanercept injection at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,801.20
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.
$3,002.00
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.
$245.13 with Highmark BCBS of PA vs $2,179.06 with United Healthcare Community Plan for Families — 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 | $245.13 | ↓ -86% |
| Aetna | Neighborhood Network | $477.29 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $489.22 | ↓ -73% |
| Aetna | Home Depot Employer Group | $518.96 | ↓ -71% |
| Aetna | NBR ASO/FI | $530.32 | ↓ -71% |
| Cigna | New Business ASO | $530.32 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $705.86 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $709.48 | ↓ -61% |
| Aetna | EBR FI | $719.72 | ↓ -60% |
| Aetna | EBR ASO | $757.60 | ↓ -58% |
| Cigna | Commercial | $757.60 | ↓ -58% |
| UPMC Health Plan | Commercial | $929.01 | ↓ -48% |
| UPMC Health Plan | Managed Medicare | $933.23 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $945.29 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $950.19 | ↓ -47% |
| PA Health & Wellness | PA Medicaid HMO | $1,041.70 | ↓ -42% |
| Aetna of PA | Medicare | $1,134.92 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,167.24 | ↓ -35% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,167.35 | ↓ -35% |
| Aetna | Medicare | $1,188.97 | ↓ -34% |
| Coventry/First Health | Commercial | $1,325.80 | ↓ -26% |
| Private Health Care Systems | PPO | $1,515.20 | ↓ -16% |
| SelectCare | Commercial | $1,515.20 | ↓ -16% |
| Humana | Commercial | $1,609.90 | ↓ -11% |
| Highmark BCBS of PA | UPMC Emergent | $1,890.58 | ↑ +5% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,179.06 | ↑ +21% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Etanercept injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,119.00 | $242.82 – $2,278.11 |
| UPMC Passavant-McCandless | Pittsburgh | $1,801.80 | $245.13 – $2,080.02 |
| UPMC Presbyterian | Pittsburgh | $1,801.80 | $245.13 – $2,551.70 |
| UPMC Western Psychiatric | Pittsburgh | $1,801.80 | $240.20 – $2,551.70 |