healthcosts.net
Ceftazidime and avibactam at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$935.40
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.
$1,559.00
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.
$51.53 with Highmark BCBS of PA vs $350.10 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 | $51.53 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $66.13 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $87.30 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $104.73 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $104.73 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $104.73 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $107.47 | ↓ -89% |
| Aetna | Neighborhood Network | $108.53 | ↓ -88% |
| Aetna of PA | Medicare | $109.97 | ↓ -88% |
| UPMC Health Plan | CHIP | $110.76 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $113.11 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $113.11 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $113.11 | ↓ -88% |
| Aetna | Medicare | $115.20 | ↓ -88% |
| Aetna | Home Depot Employer Group | $118.45 | ↓ -87% |
| Aetna | NBR ASO/FI | $120.59 | ↓ -87% |
| UPMC Health Plan | Commercial | $128.82 | ↓ -86% |
| Cigna | New Business ASO | $132.26 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $135.10 | ↓ -86% |
| Bravo | Medicare | $136.15 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $146.61 | ↓ -84% |
| Aetna | EBR FI | $147.82 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $150.78 | ↓ -84% |
| Cigna | Commercial | $155.60 | ↓ -83% |
| Aetna | EBR ASO | $155.60 | ↓ -83% |
| Coventry/First Health | Commercial | $171.16 | ↓ -82% |
| InterGroup | PPO | $194.50 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $196.35 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $201.94 | ↓ -78% |
| Cigna Behavioral Health | Commercial | $233.40 | ↓ -75% |
| Private Health Care Systems | PPO | $291.75 | ↓ -69% |
| InterGroup | Approved National Affiliated PPO Business | $311.20 | ↓ -67% |
| American Healthcare Group | Commercial | $311.20 | ↓ -67% |
| National Provider Network | PPO | $318.98 | ↓ -66% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $350.10 | ↓ -63% |
| Health Payors Organization | Commercial | $350.10 | ↓ -63% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ceftazidime and avibactam at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $991.80 | $52.02 – $330.65 |
| UPMC Presbyterian | Pittsburgh | $1,248.60 | $52.02 – $442.00 |
| UPMC St. Margaret | Pittsburgh | $935.40 | $52.02 – $330.65 |
| UPMC Western Psychiatric | Pittsburgh | $312.00 | $50.97 – $442.00 |
| UPMC Muncy | Muncy | $1,516.80 | $94.95 – $569.70 |
| UPMC Somerset | Somerset | $237.00 | $51.00 – $296.25 |
| UPMC Wellsboro | Wellsboro | $1,516.80 | $104.73 – $569.70 |
| UPMC Williamsport | Williamsport | $1,516.80 | $104.73 – $569.70 |