Amikacin 4 mg/ml intravitreal injection - cnr at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$14.00
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.
?
What you pay up front if you don't use insurance.
$17.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.40 with UPMC Health Plan vs $19.10 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 →
?
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 | $0.40 | ↓ -97% |
| United Healthcare | All Business | $0.54 | ↓ -96% |
| United Healthcare | Compass Exchange | $0.54 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $0.63 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.63 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $0.63 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.63 | ↓ -96% |
| UPMC Health Plan | Commercial | $0.78 | ↓ -94% |
| UPMC Health Plan | CHIP | $0.96 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $2.09 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2.48 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3.03 | ↓ -78% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $3.18 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison Kids | $3.49 | ↓ -75% |
| Aetna | Medicare | $4.38 | ↓ -69% |
| Aetna | Neighborhood Network | $6.14 | ↓ -56% |
| Aetna | EBR FI | $6.65 | ↓ -53% |
| Aetna | Home Depot Employer Group | $6.68 | ↓ -52% |
| Cigna | NBR ASO/FI | $6.83 | ↓ -51% |
| Aetna | NBR ASO/FI | $6.83 | ↓ -51% |
| Cigna | New Business ASO | $6.83 | ↓ -51% |
| Cigna | Commercial | $7.00 | ↓ -50% |
| Aetna | EBR ASO | $7.00 | ↓ -50% |
| Cigna | EBR | $7.00 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7.13 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7.17 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.75 | ↓ -38% |
| InterGroup | PPO | $8.75 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $9.55 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $9.60 | ↓ -31% |
| Coventry/First Health | Commercial | $12.25 | ↓ -13% |
| Private Health Care Systems | PPO | $14.00 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $19.10 | ↑ +36% |
Visitor-reported prices
Comments
Amikacin 4 mg/ml intravitreal injection - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5.80 | $0.40 – $5.60 |
| UPMC Carlisle | Carlisle | $3.60 | $0.14 – $3.03 |
| UPMC Cole | Coudersport | $15.00 | $0.63 – $20.00 |
| UPMC Community Osteopathic | Harrisburg | $3.60 | $0.20 – $4.09 |
| UPMC Hamot | Erie | $13.40 | $0.40 – $3.64 |
| UPMC Northwest | Seneca | $11.60 | $0.40 – $6.37 |
| UPMC Hanover | Hanover | $3.60 | $0.63 – $3.03 |
| UPMC Jameson | New Castle | $7.00 | $0.40 – $2.50 |