Romiplostim injection 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.
$5,961.83
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.
$92.74 with Highmark BCBS of PA vs $3,337.60 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $92.74 | — |
| Aetna | Medicare | $745.00 | — |
| Aetna | Neighborhood Network | $750.96 | — |
| UPMC Work Partners | Workers Comp | $769.73 | — |
| Aetna | Home Depot Employer Group | $816.52 | — |
| Cigna | New Business ASO | $834.40 | — |
| Aetna | NBR ASO/FI | $834.40 | — |
| Aetna | EBR FI | $1,132.40 | — |
| Cigna | Commercial | $1,192.00 | — |
| Aetna | EBR ASO | $1,192.00 | — |
| UPMC Health Plan | Commercial | $1,461.69 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $1,490.00 | — |
| PA Health & Wellness | PA Medicaid HMO | $1,639.00 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,668.80 | — |
| Highmark BCBS of PA | Managed Care | $1,668.80 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $1,698.60 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,698.60 | — |
| Coventry/First Health | Commercial | $2,086.00 | — |
| Private Health Care Systems | PPO | $2,384.00 | — |
| SelectCare | Commercial | $2,384.00 | — |
| Humana | Commercial | $2,533.00 | — |
| Highmark BCBS of PA | UPMC Emergent | $3,337.60 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Romiplostim injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $259.20 | $111.43 – $111.43 |
| UPMC Presbyterian | Pittsburgh | $259.20 | not published |
| UPMC Altoona | Altoona | $246.00 | $111.43 – $328.00 |
| UPMC Hamot | Erie | $271.80 | $87.57 – $261.44 |
| UPMC Northwest | Seneca | $259.20 | not published |
| UPMC Horizon-Greenville | Greenville | $259.20 | $111.43 – $111.43 |
| UPMC McKeesport | Mckeesport | $243.00 | $111.43 – $111.43 |
| UPMC Williamsport | Williamsport | $334.80 | not published |