Nalbuphine 10 mg/ml injection solution at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$13.80
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.
$2.03 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 | $2.03 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $2.34 | ↓ -83% |
| UPMC Health Plan | CHIP | $3.26 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.70 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $3.70 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $3.70 | ↓ -73% |
| Aetna | Medicare | $4.11 | ↓ -70% |
| UPMC Health Plan | Commercial | $4.56 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $6.36 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7.58 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7.64 | ↓ -45% |
| Aetna | Neighborhood Network | $7.98 | ↓ -42% |
| Aetna | Home Depot Employer Group | $8.67 | ↓ -37% |
| Aetna | EBR FI | $8.74 | ↓ -37% |
| Cigna | New Business ASO | $8.86 | ↓ -36% |
| Aetna | NBR ASO/FI | $8.86 | ↓ -36% |
| Cigna | Commercial | $9.20 | ↓ -33% |
| Aetna | EBR ASO | $9.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $10.15 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Indemnity | $10.23 | ↓ -26% |
| InterGroup | PPO | $11.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $13.80 | ↑ +0% |
| Coventry/First Health | Commercial | $16.10 | ↑ +17% |
| SelectCare | Commercial | $18.40 | ↑ +33% |
| Private Health Care Systems | PPO | $18.40 | ↑ +33% |
| Humana | Commercial | $19.55 | ↑ +42% |
Visitor-reported prices
Comments
Nalbuphine 10 mg/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14.20 | $2.01 – $13.60 |
| UPMC Bedford | Everett | $10.80 | $2.34 – $16.20 |
| UPMC Carlisle | Carlisle | $2.40 | $0.55 – $3.96 |
| UPMC Cole | Coudersport | $4.20 | $1.94 – $5.60 |
| UPMC Community Osteopathic | Harrisburg | $2.40 | $0.80 – $4.56 |
| UPMC East | Monroeville | $15.20 | $2.03 – $15.20 |
| UPMC Hamot | Erie | $20.40 | $2.01 – $7.66 |
| UPMC Northwest | Seneca | $22.20 | $2.34 – $5.21 |