Inj., brexanolone, 1 mg at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$178.80
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.
$298.00
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.
$35.64 with UPMC Work Partners vs $493.67 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $35.64 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $64.01 | ↓ -64% |
| Aetna | Medicare | $74.50 | ↓ -58% |
| United Healthcare | All Business | $89.40 | ↓ -50% |
| United Healthcare | Compass Exchange | $89.40 | ↓ -50% |
| UPMC Health Plan | CHIP | $104.30 | ↓ -42% |
| Aetna | Neighborhood Network | $104.60 | ↓ -41% |
| Aetna | EBR FI | $113.24 | ↓ -37% |
| Aetna | Home Depot Employer Group | $113.84 | ↓ -36% |
| Cigna | New Business ASO | $116.22 | ↓ -35% |
| Cigna | NBR ASO/FI | $116.22 | ↓ -35% |
| Aetna | NBR ASO/FI | $116.22 | ↓ -35% |
| Cigna | Commercial | $119.20 | ↓ -33% |
| Aetna | EBR ASO | $119.20 | ↓ -33% |
| Cigna | EBR | $119.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $146.17 | ↓ -18% |
| InterGroup | PPO | $149.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $149.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $163.90 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $163.90 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $184.31 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $185.26 | ↑ +4% |
| Coventry/First Health | Commercial | $208.60 | ↑ +17% |
| Private Health Care Systems | PPO | $238.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $246.83 | ↑ +38% |
| Highmark BCBS of PA | Commercial - Indemnity | $248.11 | ↑ +39% |
| Highmark BCBS of PA | UPMC Emergent | $493.67 | ↑ +176% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj., brexanolone, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $172.20 | $63.40 – $268.20 |
| UPMC Hamot | Erie | $187.80 | $63.40 – $196.30 |
| UPMC Northwest | Seneca | $171.00 | $164.56 – $164.56 |
| UPMC Horizon-Greenville | Greenville | $180.60 | $89.40 – $161.59 |
| UPMC Jameson | New Castle | $180.60 | $64.52 – $75.99 |
| UPMC St. Margaret | Pittsburgh | $171.00 | $64.01 – $64.01 |
| UPMC Williamsport | Williamsport | $172.80 | not published |