healthcosts.net
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln 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.
?
What you pay up front if you don't use insurance.
$162.30
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.
$16.87 with UPMC Health Plan vs $495.26 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 | $16.87 | — |
| UPMC Health Plan | Managed Medicare | $23.06 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.71 | — |
| PA Health & Wellness | PA Medicaid HMO | $26.71 | — |
| Aetna of PA | Medicare | $28.05 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $28.84 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $28.85 | — |
| Aetna | Medicare | $29.38 | — |
| UPMC Health Plan | Commercial | $32.86 | — |
| Aetna | Neighborhood Network | $40.90 | — |
| UPMC Work Partners | Workers Comp | $41.92 | — |
| Aetna | Home Depot Employer Group | $44.47 | — |
| Aetna | NBR ASO/FI | $45.44 | — |
| Cigna | New Business ASO | $45.44 | — |
| Aetna | EBR FI | $61.67 | — |
| Aetna | EBR ASO | $64.92 | — |
| Cigna | Commercial | $64.92 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $98.63 | — |
| Coventry/First Health | Commercial | $113.61 | — |
| Private Health Care Systems | PPO | $129.84 | — |
| SelectCare | Commercial | $129.84 | — |
| Humana | Commercial | $137.96 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $184.91 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $185.86 | — |
| Highmark BCBS of PA | Managed Care | $247.63 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $248.91 | — |
| Highmark BCBS of PA | UPMC Emergent | $495.26 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $539.40 | $16.87 – $764.15 |
| UPMC Presbyterian | Pittsburgh | $540.00 | $16.87 – $764.15 |
| UPMC Western Psychiatric | Pittsburgh | $539.40 | $26.71 – $764.15 |
| UPMC Mercy | Pittsburgh | not published | $16.87 – $146.07 |
| UPMC Muncy | Muncy | $8,196.60 | $26.71 – $491.40 |
| UPMC Somerset | Somerset | $1,200.00 | $26.44 – $966.75 |
| UPMC Wellsboro | Wellsboro | $8,196.60 | $26.71 – $491.40 |
| UPMC Williamsport | Williamsport | $436.80 | $26.71 – $491.40 |