Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$57.80
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.
$72.25
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.
$11.47 with UPMC Health Plan vs $96.47 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 Health Plan | Managed Medicaid | $11.47 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $18.17 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $18.17 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.17 | ↓ -69% |
| Aetna of PA | Medicare | $18.35 | ↓ -68% |
| Cigna | Commercial | $22.18 | ↓ -62% |
| UPMC Health Plan | CHIP | $22.36 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $27.05 | ↓ -53% |
| United Healthcare | Commercial | $27.14 | ↓ -53% |
| UPMC Health Plan | Commercial | $32.40 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $36.00 | ↓ -38% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $54.00 | ↓ -7% |
| Humana | Commercial | $57.60 | ↓ -0% |
| National Provider Network | PPO | $63.36 | ↑ +10% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $96.47 | ↑ +67% |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $77.40 | $18.17 – $103.20 |
| UPMC Hamot | Erie | $379.20 | $11.47 – $52.47 |
| UPMC Horizon-Greenville | Greenville | $359.20 | $11.47 – $241.60 |
| UPMC Magee | Pittsburgh | $540.00 | $11.47 – $95.70 |
| UPMC Muncy | Muncy | $453.60 | $18.17 – $19.98 |
| UPMC Passavant-McCandless | Pittsburgh | $348.60 | $11.47 – $95.70 |
| UPMC Presbyterian | Pittsburgh | $348.60 | $11.47 – $95.70 |
| UPMC Wellsboro | Wellsboro | $453.60 | $18.17 – $19.98 |