healthcosts.net
Buprenorphine X-ray over 100 mg at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$7,598.40
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.
$12,664.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,100.04 with Highmark BCBS of PA vs $11,397.60 with Health Payors Organization — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,100.04 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $1,273.17 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $1,680.89 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $2,016.42 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,016.42 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,016.42 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,069.25 | ↓ -73% |
| Aetna of PA | Medicare | $2,117.24 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $2,177.73 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,177.73 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,177.73 | ↓ -71% |
| UPMC Health Plan | CHIP | $2,189.76 | ↓ -71% |
| Aetna | Medicare | $2,218.06 | ↓ -71% |
| UPMC Health Plan | Commercial | $2,480.20 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,130.03 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,218.98 | ↓ -58% |
| Aetna | Neighborhood Network | $3,533.26 | ↓ -53% |
| Aetna | Home Depot Employer Group | $3,856.19 | ↓ -49% |
| Aetna | NBR ASO/FI | $3,925.84 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $4,192.02 | ↓ -45% |
| Cigna | New Business ASO | $4,305.76 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,311.32 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $4,398.21 | ↓ -42% |
| Bravo | Medicare | $4,432.40 | ↓ -42% |
| Aetna | EBR FI | $4,812.32 | ↓ -37% |
| Cigna | Commercial | $5,065.60 | ↓ -33% |
| Aetna | EBR ASO | $5,065.60 | ↓ -33% |
| Coventry/First Health | Commercial | $5,572.16 | ↓ -27% |
| InterGroup | PPO | $6,332.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $7,598.40 | ↑ +0% |
| Private Health Care Systems | PPO | $9,498.00 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $10,131.20 | ↑ +33% |
| American Healthcare Group | Commercial | $10,131.20 | ↑ +33% |
| National Provider Network | PPO | $10,384.48 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $11,397.60 | ↑ +50% |
| Health Payors Organization | Commercial | $11,397.60 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Buprenorphine X-ray over 100 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $11,436.60 | $1,110.51 – $11,293.95 |
| UPMC Presbyterian | Pittsburgh | $11,436.60 | $1,110.51 – $16,201.85 |
| UPMC St. Margaret | Pittsburgh | $7,963.80 | $1,110.51 – $11,282.05 |
| UPMC Western Psychiatric | Pittsburgh | $11,436.60 | $1,088.20 – $16,201.85 |
| UPMC Muncy | Muncy | $7,236.00 | $1,356.75 – $8,140.50 |
| UPMC Northwest | Seneca | $6,604.80 | $1,273.17 – $9,356.80 |
| UPMC Somerset | Somerset | $806.40 | $452.52 – $2,016.42 |
| UPMC Wellsboro | Wellsboro | $7,236.00 | $1,628.10 – $8,140.50 |