Felbamate (felbatol(r)) - sendout at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$125.40
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.
$209.00
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.
$14.05 with Highmark BCBS of PA vs $177.65 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 | $14.05 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $17.28 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $18.42 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $18.64 | ↓ -85% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $19.12 | ↓ -85% |
| Aetna of PA | Medicare | $19.57 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.13 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $20.13 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.13 | ↓ -84% |
| Aetna | Medicare | $20.50 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $24.41 | ↓ -81% |
| Highmark BCBS of PA | Managed Care | $32.69 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $52.99 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $70.97 | ↓ -43% |
| Aetna | Neighborhood Network | $72.52 | ↓ -42% |
| UPMC Health Plan | CHIP | $73.15 | ↓ -42% |
| Aetna | Home Depot Employer Group | $78.79 | ↓ -37% |
| Aetna | EBR FI | $79.42 | ↓ -37% |
| Cigna | New Business ASO | $80.47 | ↓ -36% |
| Aetna | NBR ASO/FI | $80.47 | ↓ -36% |
| Cigna | Commercial | $83.60 | ↓ -33% |
| Aetna | EBR ASO | $83.60 | ↓ -33% |
| InterGroup | PPO | $104.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $114.95 | ↓ -8% |
| UPMC Health Plan | Commercial | $117.44 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $125.40 | ↑ +0% |
| Coventry/First Health | Commercial | $146.30 | ↑ +17% |
| SelectCare | Commercial | $167.20 | ↑ +33% |
| Private Health Care Systems | PPO | $167.20 | ↑ +33% |
| Humana | Commercial | $177.65 | ↑ +42% |
Visitor-reported prices
Comments
Felbamate (felbatol(r)) - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $178.80 | $13.92 – $238.40 |
| UPMC East | Monroeville | $370.80 | $14.05 – $494.40 |
| UPMC Hamot | Erie | $304.80 | $13.92 – $20.13 |
| UPMC Horizon-Greenville | Greenville | $112.80 | $16.69 – $22.51 |
| UPMC Wellsboro | Wellsboro | $226.20 | $14.55 – $18.42 |
| UPMC Williamsport | Williamsport | $226.20 | $14.55 – $20.35 |
| Uniontown Hospital | Uniontown | $34.00 | $17.62 – $38.72 |
| WellSpan Good Samaritan Hospital | Lebanon | $92.80 | $13.98 – $84.63 |