Mayo prmb primidone therapeutic drug level at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$114.60
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.
$191.00
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.
$15.53 with UPMC Health Plan vs $175.72 with Multiplan — 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 Medicare | $15.53 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $16.40 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $17.02 | ↓ -85% |
| Aetna of PA | Medicare | $17.42 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.92 | ↓ -84% |
| United Healthcare | Medicare | $17.92 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $17.92 | ↓ -84% |
| Aetna | Medicare | $18.25 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $18.70 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $18.70 | ↓ -84% |
| Aetna | CHIP/Medicaid | $22.10 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.21 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $26.46 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.90 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.97 | ↓ -75% |
| UPMC Health Plan | Commercial | $29.59 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $32.39 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $51.48 | ↓ -55% |
| Aetna | Neighborhood Network | $68.76 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $68.95 | ↓ -40% |
| Aetna | EBR FI | $74.49 | ↓ -35% |
| Aetna | Home Depot Employer Group | $74.87 | ↓ -35% |
| Cigna | New Business ASO | $76.40 | ↓ -33% |
| Cigna | Commercial | $76.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $76.40 | ↓ -33% |
| Aetna | EBR ASO | $76.40 | ↓ -33% |
| InterGroup | PPO | $95.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $101.64 | ↓ -11% |
| Highmark BCBS of PA | UPMC Emergent | $103.43 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $108.64 | ↓ -5% |
| Coventry/First Health | Commercial | $133.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $145.49 | ↑ +27% |
| Preferred Healthcare System | PPO | $152.80 | ↑ +33% |
| Humana | Commercial | $162.35 | ↑ +42% |
| Private Health Care Systems | PPO | $162.35 | ↑ +42% |
| Multiplan | PPO | $175.72 | ↑ +53% |
Visitor-reported prices
Comments
Mayo prmb primidone therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $165.00 | $13.83 – $32.08 |
| UPMC Passavant-McCandless | Pittsburgh | $322.20 | $15.42 – $32.39 |
| UPMC Presbyterian | Pittsburgh | $130.20 | $16.40 – $32.39 |
| UPMC St. Margaret | Pittsburgh | $155.40 | $14.32 – $32.39 |
| UPMC Altoona | Altoona | $102.60 | $16.40 – $136.80 |
| UPMC Bedford | Everett | $91.20 | $5.99 – $136.80 |
| UPMC Carlisle | Carlisle | $118.80 | $16.42 – $168.30 |
| UPMC Cole | Coudersport | $114.60 | $10.78 – $152.80 |