healthcosts.net
Pegaspargase injection at UPMC Western Psychiatric
3811 Ohara St, Pittsburgh, PA · UPMC · · NPI 1174962435
$19,415.40
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.
$32,359.00
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.
$2,430.25 with Highmark BCBS of PA vs $31,266.47 with Aetna — 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 | Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,430.25 | ↓ -87% |
| Aetna | Narrow Network | $9,610.62 | ↓ -51% |
| Aetna | Fully Insured | $10,678.47 | ↓ -45% |
| Aetna | Commercial | $11,325.65 | ↓ -42% |
| Cigna Behavioral Health | Commercial | $19,415.40 | ↑ +0% |
| Fidelis | Medicare | $24,269.25 | ↑ +25% |
| Health Payors Organization | Commercial | $27,505.15 | ↑ +42% |
| Geisinger | CHIP | $28,424.06 | ↑ +46% |
| Highmark Wholecare (prev Gateway) | Medicare | $30,697.98 | ↑ +58% |
| Aetna | Medicare | $31,266.47 | ↑ +61% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Pegaspargase injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $19,415.40 | $2,480.08 – $31,266.47 |
| UPMC Presbyterian | Pittsburgh | $19,415.40 | $2,480.08 – $31,266.47 |
| UPMC Muncy | Muncy | $62,371.80 | $15,592.95 – $93,557.70 |
| UPMC Wellsboro | Wellsboro | $62,371.80 | $18,711.54 – $93,557.70 |