Clozapine, 25 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$22.80
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.
$38.00
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.
$0.29 with United Healthcare Community Plan for Families vs $16.03 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.29 | ↓ -99% |
| Aetna | CHIP/Medicaid | $0.36 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $0.46 | ↓ -98% |
| Aetna | Neighborhood Network | $0.72 | ↓ -97% |
| Aetna | Medicare | $0.73 | ↓ -97% |
| Aetna | Home Depot Employer Group | $0.78 | ↓ -97% |
| Aetna | EBR FI | $0.78 | ↓ -97% |
| Aetna | EBR ASO | $0.80 | ↓ -96% |
| Aetna | NBR ASO/FI | $0.80 | ↓ -96% |
| Cigna | Commercial | $0.80 | ↓ -96% |
| Cigna | New Business ASO | $0.80 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.00 | ↓ -96% |
| InterGroup | PPO | $1.00 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $1.10 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.10 | ↓ -95% |
| Coventry/First Health | Commercial | $1.40 | ↓ -94% |
| Preferred Healthcare System | PPO | $1.60 | ↓ -93% |
| Private Health Care Systems | PPO | $1.70 | ↓ -93% |
| Humana | Commercial | $1.70 | ↓ -93% |
| Multiplan | PPO | $1.84 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2.35 | ↓ -90% |
| UPMC Health Plan | CHIP | $5.54 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7.87 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7.98 | ↓ -65% |
| UPMC Health Plan | Commercial | $8.56 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $10.54 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $10.69 | ↓ -53% |
| Highmark BCBS of PA | UPMC Emergent | $16.03 | ↓ -30% |
Visitor-reported prices
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Clozapine, 25 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5.40 | $0.31 – $4.38 |
| UPMC Passavant-McCandless | Pittsburgh | $16.80 | $0.28 – $8.05 |
| UPMC Presbyterian | Pittsburgh | $6.15 | $0.27 – $8.96 |
| UPMC St. Margaret | Pittsburgh | $7.60 | $0.29 – $6.80 |
| UPMC Western Psychiatric | Pittsburgh | $6.15 | $2.30 – $2.30 |
| UPMC Altoona | Altoona | $1.00 | $0.27 – $5.54 |
| UPMC Bedford | Everett | $6.80 | $0.58 – $7.65 |
| UPMC East | Monroeville | $6.80 | $0.24 – $5.54 |