Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$18.40
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.
$23.00
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.
$3.62 with Highmark BCBS of PA vs $19.55 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.62 | ↓ -80% |
| Aetna | Medicare | $4.40 | ↓ -76% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $5.27 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $6.36 | ↓ -65% |
| Aetna | Neighborhood Network | $7.98 | ↓ -57% |
| UPMC Health Plan | CHIP | $8.05 | ↓ -56% |
| Aetna | Home Depot Employer Group | $8.67 | ↓ -53% |
| Aetna | EBR FI | $8.74 | ↓ -53% |
| Aetna | NBR ASO/FI | $8.86 | ↓ -52% |
| Cigna | New Business ASO | $8.86 | ↓ -52% |
| Aetna | EBR ASO | $9.20 | ↓ -50% |
| Cigna | Commercial | $9.20 | ↓ -50% |
| InterGroup | PPO | $11.50 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.50 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $12.65 | ↓ -31% |
| UPMC Health Plan | Commercial | $12.92 | ↓ -30% |
| Highmark BCBS of PA | Managed Care - Social Mission | $13.55 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $13.65 | ↓ -26% |
| Cigna Behavioral Health | Commercial | $13.80 | ↓ -25% |
| Coventry/First Health | Commercial | $16.10 | ↓ -13% |
| Highmark BCBS of PA | Managed Care | $18.14 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Indemnity | $18.29 | ↓ -1% |
| Private Health Care Systems | PPO | $18.40 | ↑ +0% |
| SelectCare | Commercial | $18.40 | ↑ +0% |
| Humana | Commercial | $19.55 | ↑ +6% |
Visitor-reported prices
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Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $18.00 | $3.59 – $21.42 |
| UPMC Bedford | Everett | $13.80 | $4.31 – $15.53 |
| UPMC East | Monroeville | $18.40 | $1.67 – $11.20 |
| UPMC Hamot | Erie | $22.20 | $3.59 – $19.39 |
| UPMC Northwest | Seneca | $15.40 | $5.03 – $9.31 |
| UPMC Horizon-Greenville | Greenville | $13.80 | $4.79 – $9.14 |
| UPMC Jameson | New Castle | $13.80 | $3.65 – $4.00 |
| UPMC Magee | Pittsburgh | $20.25 | $3.62 – $5.27 |