healthcosts.net
Icatibant injection at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$25,465.20
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.
$42,442.00
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.
$112.58 with UPMC Health Plan vs $1,715.46 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $112.58 | ↓ -100% |
| Aetna of PA | Medicare | $136.91 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $140.81 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $140.82 | ↓ -99% |
| Aetna | Medicare | $143.43 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $222.42 | ↓ -99% |
| Aetna | Neighborhood Network | $356.08 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $364.98 | ↓ -99% |
| Aetna | Home Depot Employer Group | $387.16 | ↓ -98% |
| Aetna | NBR ASO/FI | $395.64 | ↓ -98% |
| Cigna | New Business ASO | $395.64 | ↓ -98% |
| Aetna | EBR FI | $536.94 | ↓ -98% |
| Aetna | EBR ASO | $565.20 | ↓ -98% |
| Cigna | Commercial | $565.20 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $640.48 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $643.76 | ↓ -97% |
| UPMC Health Plan | Commercial | $693.08 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $777.15 | ↓ -97% |
| Highmark BCBS of PA | Managed Care | $857.73 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $862.18 | ↓ -97% |
| Coventry/First Health | Commercial | $989.10 | ↓ -96% |
| Private Health Care Systems | PPO | $1,130.40 | ↓ -96% |
| SelectCare | Commercial | $1,130.40 | ↓ -96% |
| Humana | Commercial | $1,201.05 | ↓ -95% |
| Highmark BCBS of PA | UPMC Emergent | $1,715.46 | ↓ -93% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Icatibant injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $26,993.40 | $108.69 – $1,350.00 |
| UPMC Passavant-McCandless | Pittsburgh | $26,994.60 | $121.17 – $1,274.15 |
| UPMC Presbyterian | Pittsburgh | $35,979.60 | $138.21 – $1,700.00 |
| UPMC Western Psychiatric | Pittsburgh | $1,200.00 | $140.82 – $1,700.00 |
| UPMC Somerset | Somerset | $1,016.40 | $129.09 – $324.75 |