Nalbuphine 10 mg/ml injection solution at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$15.20
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.
$19.00
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 $15.63 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2.03 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $2.27 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $2.34 | ↓ -85% |
| UPMC Health Plan | CHIP | $3.26 | ↓ -79% |
| United Healthcare | All Business | $3.43 | ↓ -77% |
| United Healthcare | Compass Exchange | $3.43 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.70 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $3.70 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.70 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $3.70 | ↓ -76% |
| UPMC Health Plan | Commercial | $4.56 | ↓ -70% |
| Aetna | Medicare | $4.75 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5.84 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5.87 | ↓ -61% |
| Aetna | Neighborhood Network | $6.67 | ↓ -56% |
| Aetna | EBR FI | $7.22 | ↓ -53% |
| Aetna | Home Depot Employer Group | $7.26 | ↓ -52% |
| Cigna | NBR ASO/FI | $7.41 | ↓ -51% |
| Aetna | NBR ASO/FI | $7.41 | ↓ -51% |
| Cigna | New Business ASO | $7.41 | ↓ -51% |
| Aetna | EBR ASO | $7.60 | ↓ -50% |
| Cigna | Commercial | $7.60 | ↓ -50% |
| Cigna | EBR | $7.60 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $7.82 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity | $7.86 | ↓ -48% |
| InterGroup | PPO | $9.50 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $9.50 | ↓ -38% |
| Coventry/First Health | Commercial | $13.30 | ↓ -13% |
| Private Health Care Systems | PPO | $15.20 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $15.63 | ↑ +3% |
Visitor-reported prices
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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 Hamot | Erie | $20.40 | $2.01 – $7.66 |
| UPMC Northwest | Seneca | $22.20 | $2.34 – $5.21 |
| UPMC Hanover | Hanover | $2.40 | $3.70 – $4.07 |