healthcosts.net
Inj andexxa, 10 mg at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$13,381.20
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.
$22,302.00
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.
$113.43 with UPMC Health Plan vs $1,822.13 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 | $113.43 | ↓ -99% |
| Aetna of PA | Medicare | $137.95 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $141.88 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $141.89 | ↓ -99% |
| Aetna | Medicare | $144.52 | ↓ -99% |
| Aetna | Neighborhood Network | $198.58 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $203.54 | ↓ -98% |
| Aetna | Home Depot Employer Group | $215.91 | ↓ -98% |
| Aetna | NBR ASO/FI | $220.64 | ↓ -98% |
| Cigna | New Business ASO | $220.64 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $236.25 | ↓ -98% |
| Aetna | EBR FI | $299.44 | ↓ -98% |
| Aetna | EBR ASO | $315.20 | ↓ -98% |
| Cigna | Commercial | $315.20 | ↓ -98% |
| UPMC Health Plan | Commercial | $386.51 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $433.40 | ↓ -97% |
| Coventry/First Health | Commercial | $551.60 | ↓ -96% |
| Private Health Care Systems | PPO | $630.40 | ↓ -95% |
| SelectCare | Commercial | $630.40 | ↓ -95% |
| Humana | Commercial | $669.80 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $680.30 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $683.79 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $911.06 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity | $915.78 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $1,822.13 | ↓ -86% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Inj andexxa, 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $13,381.20 | $109.52 – $709.20 |
| UPMC Passavant-McCandless | Pittsburgh | $14,184.60 | $122.09 – $709.75 |
| UPMC Presbyterian | Pittsburgh | $20,052.60 | $139.26 – $946.05 |
| UPMC Northwest | Seneca | $751.80 | $119.15 – $669.80 |
| UPMC Williamsport | Williamsport | $13,400.40 | $131.38 – $669.60 |