healthcosts.net
Pemetrexed disodium 100 mg intravenous powder for solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$261.15
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.
$2.75 with UPMC Health Plan vs $449.67 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 Medicaid | $2.75 | — |
| UPMC Health Plan | Managed Medicare | $3.76 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.36 | — |
| PA Health & Wellness | PA Medicaid HMO | $4.36 | — |
| Aetna of PA | Medicare | $4.58 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $4.71 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.71 | — |
| Aetna | Medicare | $4.80 | — |
| UPMC Health Plan | Commercial | $5.36 | — |
| Aetna | Neighborhood Network | $6.69 | — |
| UPMC Work Partners | Workers Comp | $6.86 | — |
| Aetna | Home Depot Employer Group | $7.27 | — |
| Aetna | NBR ASO/FI | $7.43 | — |
| Cigna | New Business ASO | $7.43 | — |
| Aetna | EBR FI | $10.09 | — |
| Aetna | EBR ASO | $10.62 | — |
| Cigna | Commercial | $10.62 | — |
| Coventry/First Health | Commercial | $18.59 | — |
| Private Health Care Systems | PPO | $21.24 | — |
| SelectCare | Commercial | $21.24 | — |
| Humana | Commercial | $22.57 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $86.90 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $167.89 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $168.75 | — |
| Highmark BCBS of PA | Managed Care | $224.83 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $226.00 | — |
| Highmark BCBS of PA | UPMC Emergent | $449.67 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Pemetrexed disodium 100 mg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $205.60 | $2.75 – $86.08 |
| UPMC Passavant-McCandless | Pittsburgh | $2,483.40 | $2.75 – $235.45 |
| UPMC Presbyterian | Pittsburgh | $23,822.40 | $2.75 – $674.90 |
| UPMC Western Psychiatric | Pittsburgh | $476.40 | $4.36 – $674.90 |
| UPMC Muncy | Muncy | $15,666.00 | $4.36 – $469.80 |
| UPMC Northwest | Seneca | $379.20 | $2.75 – $22.57 |
| UPMC Somerset | Somerset | $2,425.80 | $4.32 – $22.50 |
| UPMC Wellsboro | Wellsboro | $15,666.00 | $4.36 – $469.80 |