healthcosts.net
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$12,202.80
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.
?
What you pay up front if you don't use insurance.
$20,338.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.41 with UPMC Health Plan vs $2,012.88 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $77.14 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $89.34 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $89.34 | ↓ -99% |
| Aetna of PA | Medicare | $93.81 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $96.48 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $96.49 | ↓ -99% |
| Aetna | Medicare | $98.27 | ↓ -99% |
| UPMC Health Plan | Commercial | $109.89 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $260.98 | ↓ -98% |
| Aetna | Neighborhood Network | $426.89 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $437.56 | ↓ -96% |
| Aetna | Home Depot Employer Group | $464.16 | ↓ -96% |
| Aetna | NBR ASO/FI | $474.32 | ↓ -96% |
| Cigna | New Business ASO | $474.32 | ↓ -96% |
| Aetna | EBR FI | $643.72 | ↓ -95% |
| Aetna | EBR ASO | $677.60 | ↓ -94% |
| Cigna | Commercial | $677.60 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $751.52 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $755.37 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $1,006.44 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,011.65 | ↓ -92% |
| Coventry/First Health | Commercial | $1,185.80 | ↓ -90% |
| Private Health Care Systems | PPO | $1,355.20 | ↓ -89% |
| SelectCare | Commercial | $1,355.20 | ↓ -89% |
| Humana | Commercial | $1,439.90 | ↓ -88% |
| Highmark BCBS of PA | UPMC Emergent | $2,012.88 | ↓ -84% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $901.20 | $56.41 – $1,351.80 |
| UPMC Passavant-McCandless | Pittsburgh | $2,401.80 | $56.41 – $1,668.55 |
| UPMC Presbyterian | Pittsburgh | $28,812.00 | $56.41 – $3,402.55 |
| UPMC Western Psychiatric | Pittsburgh | $2,401.80 | $89.34 – $3,402.55 |
| UPMC Northwest | Seneca | $1,355.20 | $56.41 – $1,276.70 |
| UPMC Somerset | Somerset | $6,417.60 | $58.81 – $8,022.00 |
| UPMC Wellsboro | Wellsboro | $1,069.80 | $89.34 – $1,604.70 |
| UPMC Williamsport | Williamsport | $12,717.60 | $89.34 – $1,589.40 |