Procainamide 100 mg/ml injection (wrapper) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$225.00
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.
$375.00
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.
$19.97 with UPMC Work Partners vs $362.47 with UPMC Health Plan — 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 Work Partners | Workers Comp | $19.97 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $24.98 | ↓ -89% |
| Aetna | Neighborhood Network | $31.32 | ↓ -86% |
| Aetna | EBR FI | $33.93 | ↓ -85% |
| Aetna | Home Depot Employer Group | $34.10 | ↓ -85% |
| Cigna | New Business ASO | $34.80 | ↓ -85% |
| Aetna | EBR ASO | $34.80 | ↓ -85% |
| Aetna | NBR ASO/FI | $34.80 | ↓ -85% |
| Cigna | Commercial | $34.80 | ↓ -85% |
| InterGroup | PPO | $43.50 | ↓ -81% |
| Coventry/First Health | Commercial | $60.90 | ↓ -73% |
| Preferred Healthcare System | PPO | $69.60 | ↓ -69% |
| Humana | Commercial | $73.95 | ↓ -67% |
| Private Health Care Systems | PPO | $73.95 | ↓ -67% |
| Multiplan | PPO | $80.04 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $83.78 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $84.95 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $112.20 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $113.78 | ↓ -49% |
| UPMC Health Plan | CHIP | $169.78 | ↓ -25% |
| Highmark BCBS of PA | UPMC Emergent | $170.66 | ↓ -24% |
| UPMC Health Plan | Managed Medicaid | $186.07 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $275.80 | ↑ +23% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $294.69 | ↑ +31% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.69 | ↑ +31% |
| Geisinger | Medicaid/CHIP | $294.69 | ↑ +31% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $294.69 | ↑ +31% |
| UPMC Health Plan | Partners/Select | $302.29 | ↑ +34% |
| Aetna of PA | Medicare | $309.42 | ↑ +38% |
| Aetna | CHIP/Medicaid | $312.37 | ↑ +39% |
| Highmark Wholecare (prev Gateway) | Medicare | $318.24 | ↑ +41% |
| United Healthcare | Medicare | $318.27 | ↑ +41% |
| AmeriHealth Caritas | Medicare | $318.27 | ↑ +41% |
| Aetna | Medicare | $324.16 | ↑ +44% |
| UPMC Health Plan | Commercial | $362.47 | ↑ +61% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Procainamide 100 mg/ml injection (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $222.40 | $24.74 – $324.16 |
| UPMC Passavant-McCandless | Pittsburgh | $225.00 | $24.98 – $324.16 |
| UPMC Presbyterian | Pittsburgh | $225.00 | $24.98 – $324.16 |
| UPMC St. Margaret | Pittsburgh | $111.60 | $24.98 – $324.16 |
| UPMC Western Psychiatric | Pittsburgh | $225.00 | $24.47 – $324.16 |
| UPMC Altoona | Altoona | $216.00 | $24.74 – $315.32 |
| UPMC Carlisle | Carlisle | $36.00 | $1.23 – $471.50 |
| UPMC Cole | Coudersport | $106.20 | $2.49 – $294.69 |