Sumatriptan 6 mg/0.5 ml subcutaneous solution at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$704.00
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.
$880.00
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.
$69.57 with Health Partners Plans (Jefferson Health Plan) vs $748.00 with Humana — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $69.57 | ↓ -90% |
| Aetna | Medicaid | $76.53 | ↓ -89% |
| UPMC Health Plan | CHIP | $160.83 | ↓ -77% |
| United Healthcare | Compass Exchange | $161.93 | ↓ -77% |
| United Healthcare | All Business | $161.93 | ↓ -77% |
| UPMC Health Plan | Commercial | $215.51 | ↓ -69% |
| Aetna | Medicare | $220.00 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $232.89 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $286.91 | ↓ -59% |
| Anthem Blue Cross Blue Shield | Traditional | $300.08 | ↓ -57% |
| Aetna | Neighborhood Network | $325.60 | ↓ -54% |
| Aetna | Home Depot Employer Group | $336.16 | ↓ -52% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $342.32 | ↓ -51% |
| Cigna | NBR ASO/FI | $343.20 | ↓ -51% |
| Cigna | New Business ASO | $343.20 | ↓ -51% |
| Aetna | NBR ASO/FI | $343.20 | ↓ -51% |
| Cigna | Commercial | $352.00 | ↓ -50% |
| Aetna | EBR ASO | $352.00 | ↓ -50% |
| Cigna | EBR | $352.00 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $440.00 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $440.00 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $450.82 | ↓ -36% |
| Geisinger | Medicaid/CHIP | $484.00 | ↓ -31% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $484.00 | ↓ -31% |
| Aetna | EBR FI | $528.00 | ↓ -25% |
| InterGroup | PPO | $572.00 | ↓ -19% |
| Coventry/First Health | Commercial | $580.80 | ↓ -18% |
| Health Coalition Partners | PPO | $616.00 | ↓ -13% |
| Private Health Care Systems | PPO | $704.00 | ↑ +0% |
| Prime Net | Commercial | $721.60 | ↑ +3% |
| Humana | Commercial | $748.00 | ↑ +6% |
Visitor-reported prices
Comments
Sumatriptan 6 mg/0.5 ml subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $107.20 | $49.82 – $485.79 |
| UPMC Bedford | Everett | $476.80 | $69.57 – $536.40 |
| UPMC Carlisle | Carlisle | $105.60 | $24.11 – $149.60 |
| UPMC Cole | Coudersport | $253.20 | $55.86 – $337.60 |
| UPMC Community Osteopathic | Harrisburg | $105.60 | $35.20 – $160.83 |
| UPMC East | Monroeville | $545.60 | $69.57 – $545.60 |
| UPMC Northwest | Seneca | $476.80 | $14.60 – $237.16 |
| UPMC Hanover | Hanover | $105.60 | $69.57 – $160.83 |