Acetazolamide 500 mg solution for injection at UPMC East

2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$301.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$377.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$12.53 with UPMC Health Plan vs $393.95 with Highmark BCBS of PA — same scan, same building. Share

Negotiated rates by payer
?

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
UPMC Health Plan Managed Medicaid $12.53 ↓ -96%
PA Health & Wellness PA Medicaid HMO $19.84 ↓ -93%
Geisinger Medicaid/CHIP $19.84 ↓ -93%
Highmark Wholecare (prev Gateway) Medicaid $19.84 ↓ -93%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $19.84 ↓ -93%
United Healthcare All Business $21.62 ↓ -93%
United Healthcare Compass Exchange $21.62 ↓ -93%
UPMC Health Plan Commercial $24.41 ↓ -92%
UPMC Health Plan CHIP $32.63 ↓ -89%
UPMC Work Partners Workers Comp $45.09 ↓ -85%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $51.08 ↓ -83%
Aetna Medicare $94.25 ↓ -69%
Aetna Neighborhood Network $132.33 ↓ -56%
Aetna EBR FI $143.26 ↓ -53%
Aetna Home Depot Employer Group $144.01 ↓ -52%
Cigna NBR ASO/FI $147.03 ↓ -51%
Aetna NBR ASO/FI $147.03 ↓ -51%
Cigna New Business ASO $147.03 ↓ -51%
Highmark BCBS of PA Managed Care - Social Mission $147.08 ↓ -51%
Highmark BCBS of PA Commercial - Social Mission Indemnity $147.84 ↓ -51%
Cigna Commercial $150.80 ↓ -50%
Aetna EBR ASO $150.80 ↓ -50%
Cigna EBR $150.80 ↓ -50%
Highmark Wholecare (prev Gateway) Medicare $188.50 ↓ -38%
InterGroup PPO $188.50 ↓ -38%
Highmark BCBS of PA Managed Care $196.97 ↓ -35%
Highmark BCBS of PA Commercial - Indemnity $198.00 ↓ -34%
Coventry/First Health Commercial $263.90 ↓ -13%
Private Health Care Systems PPO $301.60 ↑ +0%
Highmark BCBS of PA UPMC Emergent $393.95 ↑ +31%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Acetazolamide 500 mg solution for injection at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $100.80 $12.53 – $100.80
UPMC Bedford Everett $128.80 $12.53 – $144.90
UPMC Carlisle Carlisle $25.80 $4.25 – $39.65
UPMC Cole Coudersport $45.60 $19.84 – $60.80
UPMC Community Osteopathic Harrisburg $25.80 $6.20 – $84.25
UPMC Hamot Erie $222.40 $12.53 – $76.56
UPMC Northwest Seneca $195.20 $12.53 – $131.32
UPMC Hanover Hanover $25.80 $19.84 – $39.65

All Pennsylvania hospitals for this procedure →