healthcosts.net
Fomepizole 1 gram/ml intravenous solution at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$6,465.00
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.
?
What you pay up front if you don't use insurance.
$10,775.00
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.
$5.24 with UPMC Health Plan vs $96.30 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $5.24 | ↓ -100% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $6.44 | ↓ -100% |
| Aetna of PA | Medicare | $6.59 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $6.78 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.78 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6.78 | ↓ -100% |
| Aetna | Medicare | $6.91 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $23.46 | ↓ -100% |
| Aetna | Neighborhood Network | $29.85 | ↓ -100% |
| Aetna | Home Depot Employer Group | $32.58 | ↓ -99% |
| Aetna | NBR ASO/FI | $33.17 | ↓ -99% |
| Cigna | New Business ASO | $36.38 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $37.16 | ↓ -99% |
| UPMC Health Plan | CHIP | $37.45 | ↓ -99% |
| Bravo | Medicare | $37.45 | ↓ -99% |
| Aetna | EBR FI | $40.66 | ↓ -99% |
| Cigna | Commercial | $42.80 | ↓ -99% |
| Aetna | EBR ASO | $42.80 | ↓ -99% |
| Coventry/First Health | Commercial | $47.08 | ↓ -99% |
| UPMC Health Plan | Commercial | $48.15 | ↓ -99% |
| InterGroup | PPO | $53.50 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $58.85 | ↓ -99% |
| Cigna Behavioral Health | Commercial | $64.20 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $66.75 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $68.64 | ↓ -99% |
| Private Health Care Systems | PPO | $80.25 | ↓ -99% |
| InterGroup | Approved National Affiliated PPO Business | $85.60 | ↓ -99% |
| American Healthcare Group | Commercial | $85.60 | ↓ -99% |
| National Provider Network | PPO | $87.74 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $89.39 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Indemnity | $91.94 | ↓ -99% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $96.30 | ↓ -99% |
| Health Payors Organization | Commercial | $96.30 | ↓ -99% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,203.60 | $5.84 – $95.20 |
| UPMC Presbyterian | Pittsburgh | $7,431.60 | $6.66 – $105.40 |
| UPMC St. Margaret | Pittsburgh | $16,285.80 | $5.42 – $231.20 |
| UPMC Muncy | Muncy | $5,244.60 | $6.28 – $78.30 |
| UPMC Somerset | Somerset | $600.00 | $6.22 – $492.75 |
| UPMC Wellsboro | Wellsboro | $5,244.60 | $6.28 – $78.30 |
| UPMC Williamsport | Williamsport | $5,244.60 | $6.28 – $78.30 |