Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$79.00
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.
$98.75
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.
$0.99 with UPMC Health Plan vs $102.90 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 | $0.99 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $1.57 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.57 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $1.57 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.57 | ↓ -98% |
| United Healthcare | Compass Exchange | $1.65 | ↓ -98% |
| United Healthcare | All Business | $1.65 | ↓ -98% |
| UPMC Health Plan | Commercial | $1.93 | ↓ -98% |
| UPMC Health Plan | CHIP | $1.97 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3.86 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $4.06 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $4.44 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $11.72 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.34 | ↓ -83% |
| Aetna | Medicare | $24.50 | ↓ -69% |
| Aetna | Neighborhood Network | $34.40 | ↓ -56% |
| Aetna | EBR FI | $37.24 | ↓ -53% |
| Aetna | Home Depot Employer Group | $37.44 | ↓ -53% |
| Cigna | NBR ASO/FI | $38.22 | ↓ -52% |
| Aetna | NBR ASO/FI | $38.22 | ↓ -52% |
| Cigna | New Business ASO | $38.22 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $38.42 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $38.62 | ↓ -51% |
| Aetna | EBR ASO | $39.20 | ↓ -50% |
| Cigna | EBR | $39.20 | ↓ -50% |
| Cigna | Commercial | $39.20 | ↓ -50% |
| InterGroup | PPO | $49.00 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $49.00 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $51.45 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity | $51.72 | ↓ -35% |
| Coventry/First Health | Commercial | $68.60 | ↓ -13% |
| Private Health Care Systems | PPO | $78.40 | ↓ -1% |
| Highmark BCBS of PA | UPMC Emergent | $102.90 | ↑ +30% |
Visitor-reported prices
Comments
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10.60 | $0.99 – $13.22 |
| UPMC Bedford | Everett | $32.80 | $0.99 – $36.65 |
| UPMC Cole | Coudersport | $17.40 | $1.57 – $20.00 |
| UPMC Hamot | Erie | $390.60 | $0.99 – $4.63 |
| UPMC Northwest | Seneca | $52.80 | $0.99 – $34.30 |
| UPMC Horizon-Greenville | Greenville | $32.40 | $0.99 – $33.68 |
| UPMC Jameson | New Castle | $114.60 | $0.99 – $13.45 |
| UPMC Kane | Kane | $9.60 | $1.57 – $2.72 |