Inj beta interferon sq 1 mcg at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$47.40
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.
$59.25
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.
$14.33 with Highmark BCBS of PA vs $2,045.54 with United Healthcare Community Plan for Families — 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 | $14.33 | ↓ -70% |
| Aetna | Medicare | $14.75 | ↓ -69% |
| Aetna | Neighborhood Network | $16.46 | ↓ -65% |
| Aetna | Home Depot Employer Group | $17.97 | ↓ -62% |
| Aetna | NBR ASO/FI | $18.29 | ↓ -61% |
| Cigna | New Business ASO | $20.06 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $20.49 | ↓ -57% |
| Bravo | Medicare | $20.65 | ↓ -56% |
| UPMC Health Plan | CHIP | $20.65 | ↓ -56% |
| Aetna | EBR FI | $22.42 | ↓ -53% |
| Aetna | EBR ASO | $23.60 | ↓ -50% |
| Cigna | Commercial | $23.60 | ↓ -50% |
| Coventry/First Health | Commercial | $25.96 | ↓ -45% |
| UPMC Health Plan | Commercial | $26.55 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.50 | ↓ -38% |
| InterGroup | PPO | $29.50 | ↓ -38% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.45 | ↓ -32% |
| Cigna Behavioral Health | Commercial | $35.40 | ↓ -25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $40.78 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $41.94 | ↓ -12% |
| Private Health Care Systems | PPO | $44.25 | ↓ -7% |
| American Healthcare Group | Commercial | $47.20 | ↓ -0% |
| InterGroup | Approved National Affiliated PPO Business | $47.20 | ↓ -0% |
| National Provider Network | PPO | $48.38 | ↑ +2% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $53.10 | ↑ +12% |
| Health Payors Organization | Commercial | $53.10 | ↑ +12% |
| Highmark BCBS of PA | Managed Care | $54.61 | ↑ +15% |
| Highmark BCBS of PA | Commercial - Indemnity | $56.17 | ↑ +19% |
| United Healthcare Community Plan for Families | PA Medicaid | $2,045.54 | ↑ +4215% |
Visitor-reported prices
Comments
Inj beta interferon sq 1 mcg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,488.00 | $14.47 – $1,956.61 |
| UPMC Presbyterian | Pittsburgh | $379.20 | $14.47 – $1,778.73 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $40.83 – $52.23 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $40.83 – $52.23 |