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Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$74.40
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.
$124.00
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.
$18.65 with Aetna vs $1,025.83 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $18.65 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $19.11 | ↓ -74% |
| Aetna | Home Depot Employer Group | $20.28 | ↓ -73% |
| Aetna | NBR ASO/FI | $20.72 | ↓ -72% |
| Cigna | New Business ASO | $20.72 | ↓ -72% |
| Aetna | EBR FI | $28.12 | ↓ -62% |
| Aetna | EBR ASO | $29.60 | ↓ -60% |
| Cigna | Commercial | $29.60 | ↓ -60% |
| Coventry/First Health | Commercial | $51.80 | ↓ -30% |
| Private Health Care Systems | PPO | $59.20 | ↓ -20% |
| SelectCare | Commercial | $59.20 | ↓ -20% |
| Humana | Commercial | $62.90 | ↓ -15% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $133.01 | ↑ +79% |
| UPMC Health Plan | Managed Medicaid | $149.40 | ↑ +101% |
| UPMC Health Plan | Managed Medicare | $204.30 | ↑ +175% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $236.62 | ↑ +218% |
| PA Health & Wellness | PA Medicaid HMO | $236.62 | ↑ +218% |
| Aetna of PA | Medicare | $248.45 | ↑ +234% |
| Highmark Wholecare (prev Gateway) | Medicare | $255.53 | ↑ +243% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $255.55 | ↑ +243% |
| Aetna | Medicare | $260.28 | ↑ +250% |
| UPMC Health Plan | Commercial | $291.04 | ↑ +291% |
| Highmark BCBS of PA | Managed Care - Social Mission | $383.00 | ↑ +415% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $384.96 | ↑ +417% |
| Highmark BCBS of PA | Managed Care | $512.92 | ↑ +589% |
| Highmark BCBS of PA | Commercial - Indemnity | $515.57 | ↑ +593% |
| Highmark BCBS of PA | UPMC Emergent | $1,025.83 | ↑ +1279% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $74.40 | $20.65 – $255.55 |
| UPMC Passavant-McCandless | Pittsburgh | $704.40 | $25.16 – $260.28 |
| UPMC Western Psychiatric | Pittsburgh | $704.40 | $130.33 – $997.90 |
| UPMC Northwest | Seneca | $74.40 | $26.72 – $255.55 |
| UPMC Williamsport | Williamsport | $844.20 | $236.62 – $1,139.40 |