Naltrexone, depot form at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$33.60
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.
$56.00
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.
$2.68 with UPMC Health Plan vs $1,784.45 with United Healthcare Community Plan for Families — 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 | $2.68 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.90 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $3.97 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.24 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.24 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $4.24 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.24 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $4.35 | ↓ -87% |
| Aetna of PA | Medicare | $4.45 | ↓ -87% |
| Aetna | CHIP/Medicaid | $4.49 | ↓ -87% |
| United Healthcare | Medicare | $4.58 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $4.58 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.58 | ↓ -86% |
| UPMC Health Plan | CHIP | $4.59 | ↓ -86% |
| Aetna | Medicare | $4.66 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $5.05 | ↓ -85% |
| UPMC Health Plan | Commercial | $5.22 | ↓ -84% |
| Aetna | Neighborhood Network | $7.92 | ↓ -76% |
| Aetna | EBR FI | $8.58 | ↓ -74% |
| Aetna | Home Depot Employer Group | $8.62 | ↓ -74% |
| Cigna | New Business ASO | $8.80 | ↓ -74% |
| Aetna | EBR ASO | $8.80 | ↓ -74% |
| Cigna | Commercial | $8.80 | ↓ -74% |
| Aetna | NBR ASO/FI | $8.80 | ↓ -74% |
| InterGroup | PPO | $11.00 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $13.09 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $13.28 | ↓ -60% |
| Coventry/First Health | Commercial | $15.40 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $17.53 | ↓ -48% |
| Preferred Healthcare System | PPO | $17.60 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $17.78 | ↓ -47% |
| Humana | Commercial | $18.70 | ↓ -44% |
| Private Health Care Systems | PPO | $18.70 | ↓ -44% |
| Multiplan | PPO | $20.24 | ↓ -40% |
| Highmark BCBS of PA | UPMC Emergent | $26.67 | ↓ -21% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,784.45 | ↑ +5211% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Naltrexone, depot form at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $12,768.00 | $2.68 – $1,622.23 |
| UPMC St. Margaret | Pittsburgh | $5,101.20 | $2.68 – $1,784.45 |
| UPMC Muncy | Muncy | $7,275.00 | $4.24 – $4.66 |
| UPMC Wellsboro | Wellsboro | $7,275.00 | $4.24 – $1,622.23 |
| UPMC Williamsport | Williamsport | $7,275.00 | $4.24 – $4.54 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $2.74 – $8.90 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $3.40 – $8.90 |