healthcosts.net
Digoxin immune fab 40 mg intravenous solution at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$10,544.00
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.
$13,971.00
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.
$1,285.38 with Highmark BCBS of PA vs $11,862.00 with Health Payors Organization — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,285.38 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $3,263.22 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,657.40 | ↓ -65% |
| Aetna | Neighborhood Network | $3,677.22 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,761.33 | ↓ -64% |
| Aetna | Home Depot Employer Group | $4,013.31 | ↓ -62% |
| Aetna | NBR ASO/FI | $4,085.80 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $4,308.24 | ↓ -59% |
| Cigna | New Business ASO | $4,481.20 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $4,577.41 | ↓ -57% |
| Bravo | Medicare | $4,613.00 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $4,898.31 | ↓ -54% |
| Aetna | EBR FI | $5,008.40 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,037.72 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $5,168.23 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,168.23 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5,168.23 | ↓ -51% |
| Cigna | Commercial | $5,272.00 | ↓ -50% |
| Aetna | EBR ASO | $5,272.00 | ↓ -50% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,303.64 | ↓ -50% |
| Aetna of PA | Medicare | $5,426.64 | ↓ -49% |
| UPMC Health Plan | CHIP | $5,543.63 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $5,581.69 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,581.69 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,581.69 | ↓ -47% |
| Aetna | Medicare | $5,685.05 | ↓ -46% |
| Coventry/First Health | Commercial | $5,799.20 | ↓ -45% |
| UPMC Health Plan | Commercial | $6,356.92 | ↓ -40% |
| InterGroup | PPO | $6,590.00 | ↓ -38% |
| Cigna Behavioral Health | Commercial | $7,908.00 | ↓ -25% |
| Private Health Care Systems | PPO | $9,885.00 | ↓ -6% |
| InterGroup | Approved National Affiliated PPO Business | $10,544.00 | ↑ +0% |
| American Healthcare Group | Commercial | $10,544.00 | ↑ +0% |
| National Provider Network | PPO | $10,807.60 | ↑ +3% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $11,862.00 | ↑ +13% |
| Health Payors Organization | Commercial | $11,862.00 | ↑ +13% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Digoxin immune fab 40 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $11,176.20 | $1,297.62 – $5,685.05 |
| UPMC Presbyterian | Pittsburgh | $11,176.20 | $1,297.62 – $15,832.95 |
| UPMC St. Margaret | Pittsburgh | $11,176.80 | $1,297.62 – $11,875.35 |
| UPMC Western Psychiatric | Pittsburgh | $11,176.20 | $1,271.55 – $15,832.95 |
| UPMC Muncy | Muncy | $16,441.80 | $1,903.80 – $11,422.80 |
| UPMC Northwest | Seneca | $8,382.60 | $3,263.22 – $11,875.35 |
| UPMC Somerset | Somerset | $2,869.80 | $1,272.38 – $5,168.23 |
| UPMC Wellsboro | Wellsboro | $16,441.80 | $2,284.56 – $11,422.80 |