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Albuterol non-comp unit at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$8.00
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.
$10.00
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.
$0.05 with UPMC Health Plan vs $9.00 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 | CHIP | $0.05 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $0.05 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.08 | ↓ -99% |
| UPMC Health Plan | Commercial | $0.09 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1.47 | ↓ -82% |
| Aetna | Medicare | $2.50 | ↓ -69% |
| Aetna | Neighborhood Network | $2.79 | ↓ -65% |
| Aetna | Home Depot Employer Group | $3.04 | ↓ -62% |
| Aetna | NBR ASO/FI | $3.10 | ↓ -61% |
| Cigna | New Business ASO | $3.40 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $3.47 | ↓ -57% |
| Bravo | Medicare | $3.50 | ↓ -56% |
| Aetna | EBR FI | $3.80 | ↓ -53% |
| Aetna | EBR ASO | $4.00 | ↓ -50% |
| Cigna | Commercial | $4.00 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4.18 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4.30 | ↓ -46% |
| Coventry/First Health | Commercial | $4.40 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.00 | ↓ -38% |
| InterGroup | PPO | $5.00 | ↓ -38% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5.50 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $5.60 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $5.76 | ↓ -28% |
| Cigna Behavioral Health | Commercial | $6.00 | ↓ -25% |
| Private Health Care Systems | PPO | $7.50 | ↓ -6% |
| American Healthcare Group | Commercial | $8.00 | ↑ +0% |
| InterGroup | Approved National Affiliated PPO Business | $8.00 | ↑ +0% |
| National Provider Network | PPO | $8.20 | ↑ +3% |
| Health Payors Organization | Commercial | $9.00 | ↑ +13% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $9.00 | ↑ +13% |
Visitor-reported prices
Comments
Albuterol non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $18.00 | $0.05 – $3.40 |
| UPMC Presbyterian | Pittsburgh | $7.20 | $0.06 – $10.20 |
| UPMC St. Margaret | Pittsburgh | $6.80 | $0.07 – $7.22 |
| UPMC Western Psychiatric | Pittsburgh | $7.20 | $1.45 – $10.20 |
| UPMC Muncy | Muncy | $10.00 | $0.08 – $1.80 |
| UPMC Northwest | Seneca | $8.40 | $0.05 – $8.93 |
| UPMC Wellsboro | Wellsboro | $10.00 | $0.06 – $1.80 |
| UPMC Williamsport | Williamsport | $10.00 | $0.08 – $0.90 |