healthcosts.net
Vincristine 1 mg/ml intravenous solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$239.40
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.
$399.00
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.
$3.25 with Aetna vs $237.64 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 |
|---|---|---|---|
| Aetna | Medicare | $3.25 | ↓ -99% |
| Aetna | Neighborhood Network | $3.28 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $3.36 | ↓ -99% |
| Aetna | Home Depot Employer Group | $3.56 | ↓ -99% |
| Aetna | NBR ASO/FI | $3.64 | ↓ -98% |
| Cigna | New Business ASO | $3.64 | ↓ -98% |
| Aetna | EBR FI | $4.94 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $5.19 | ↓ -98% |
| Aetna | EBR ASO | $5.20 | ↓ -98% |
| Cigna | Commercial | $5.20 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.50 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.22 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $8.22 | ↓ -97% |
| Coventry/First Health | Commercial | $9.10 | ↓ -96% |
| UPMC Health Plan | Commercial | $10.11 | ↓ -96% |
| Private Health Care Systems | PPO | $10.40 | ↓ -96% |
| SelectCare | Commercial | $10.40 | ↓ -96% |
| Humana | Commercial | $11.05 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $56.03 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $88.73 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $89.18 | ↓ -63% |
| Highmark BCBS of PA | Managed Care | $118.82 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $119.44 | ↓ -50% |
| Highmark BCBS of PA | UPMC Emergent | $237.64 | ↓ -1% |
Visitor-reported prices
Comments
Vincristine 1 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $253.80 | $3.25 – $55.50 |
| UPMC Passavant-McCandless | Pittsburgh | $320.40 | $5.19 – $226.10 |
| UPMC Presbyterian | Pittsburgh | $530.40 | $5.19 – $375.70 |
| UPMC Western Psychiatric | Pittsburgh | $306.00 | $8.22 – $375.70 |
| UPMC Muncy | Muncy | $48.60 | $6.00 – $36.00 |
| UPMC Northwest | Seneca | $181.60 | $3.25 – $79.22 |
| UPMC Somerset | Somerset | $10.20 | $2.36 – $54.94 |
| UPMC Wellsboro | Wellsboro | $48.60 | $7.20 – $36.00 |