Albuterol comp unit at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1.20
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.
?
What you pay up front if you don't use insurance.
$2.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.21 with Aetna vs $10.39 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 |
|---|---|---|---|
| Aetna | Medicare | $0.21 | ↓ -83% |
| Aetna | CHIP/Medicaid | $0.36 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $0.46 | ↓ -62% |
| UPMC Health Plan | CHIP | $0.70 | ↓ -42% |
| Aetna | Neighborhood Network | $0.72 | ↓ -40% |
| Aetna | EBR FI | $0.78 | ↓ -35% |
| Aetna | Home Depot Employer Group | $0.78 | ↓ -35% |
| Cigna | New Business ASO | $0.80 | ↓ -33% |
| Aetna | EBR ASO | $0.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $0.80 | ↓ -33% |
| Cigna | Commercial | $0.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $0.87 | ↓ -28% |
| InterGroup | PPO | $1.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1.10 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.10 | ↓ -8% |
| Coventry/First Health | Commercial | $1.40 | ↑ +17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1.52 | ↑ +27% |
| Preferred Healthcare System | PPO | $1.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1.70 | ↑ +42% |
| Humana | Commercial | $1.70 | ↑ +42% |
| Multiplan | PPO | $1.84 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5.10 | ↑ +325% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5.17 | ↑ +331% |
| Highmark BCBS of PA | Commercial - Indemnity | $6.83 | ↑ +469% |
| Highmark BCBS of PA | Managed Care | $6.92 | ↑ +477% |
| Highmark BCBS of PA | UPMC Emergent | $10.39 | ↑ +766% |
Visitor-reported prices
Comments
Albuterol comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1.20 | $1.52 – $1.52 |
| UPMC Presbyterian | Pittsburgh | $1.20 | $1.52 – $1.52 |
| UPMC Western Psychiatric | Pittsburgh | $1.20 | $1.49 – $1.49 |