healthcosts.net
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$43.80
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.
?
What you pay up front if you don't use insurance.
$81.60
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.39 with UPMC Health Plan vs $48.60 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $4.39 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.96 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $6.96 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6.96 | ↓ -84% |
| UPMC Health Plan | CHIP | $7.91 | ↓ -82% |
| UPMC Health Plan | Commercial | $8.56 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $9.26 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.89 | ↓ -75% |
| Aetna | Medicare | $13.50 | ↓ -69% |
| Aetna | Neighborhood Network | $15.07 | ↓ -66% |
| Aetna | Home Depot Employer Group | $16.44 | ↓ -62% |
| Aetna | NBR ASO/FI | $16.74 | ↓ -62% |
| Cigna | New Business ASO | $18.36 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $18.75 | ↓ -57% |
| Bravo | Medicare | $18.90 | ↓ -57% |
| Aetna | EBR FI | $20.52 | ↓ -53% |
| Aetna | EBR ASO | $21.60 | ↓ -51% |
| Cigna | Commercial | $21.60 | ↓ -51% |
| Coventry/First Health | Commercial | $23.76 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $26.34 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.00 | ↓ -38% |
| InterGroup | PPO | $27.00 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $27.09 | ↓ -38% |
| Cigna Behavioral Health | Commercial | $32.40 | ↓ -26% |
| Highmark BCBS of PA | Managed Care | $35.28 | ↓ -19% |
| Highmark BCBS of PA | Commercial - Indemnity | $36.28 | ↓ -17% |
| Private Health Care Systems | PPO | $40.50 | ↓ -8% |
| American Healthcare Group | Commercial | $43.20 | ↓ -1% |
| InterGroup | Approved National Affiliated PPO Business | $43.20 | ↓ -1% |
| National Provider Network | PPO | $44.28 | ↑ +1% |
| Health Payors Organization | Commercial | $48.60 | ↑ +11% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $48.60 | ↑ +11% |
Visitor-reported prices
Comments
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $267.00 | $4.39 – $75.65 |
| UPMC Presbyterian | Pittsburgh | $160.80 | $4.39 – $33.15 |
| UPMC St. Margaret | Pittsburgh | $73.20 | $4.39 – $69.36 |
| UPMC Western Psychiatric | Pittsburgh | $160.80 | $6.96 – $227.80 |
| UPMC Muncy | Muncy | $287.40 | $6.96 – $85.50 |
| UPMC Northwest | Seneca | $49.20 | $4.39 – $51.85 |
| UPMC Wellsboro | Wellsboro | $287.40 | $2.88 – $14.40 |
| UPMC Williamsport | Williamsport | $76.00 | $6.96 – $85.50 |