Inj naloxone hydrochloride at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$25.80
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.
$43.00
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.
$5.25 with Aetna vs $24.84 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Medicare | $5.25 | ↓ -80% |
| Aetna | Neighborhood Network | $5.86 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.34 | ↓ -75% |
| Aetna | Home Depot Employer Group | $6.39 | ↓ -75% |
| Aetna | NBR ASO/FI | $6.51 | ↓ -75% |
| Cigna | New Business ASO | $7.14 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $7.29 | ↓ -72% |
| Bravo | Medicare | $7.35 | ↓ -72% |
| Aetna | EBR FI | $7.98 | ↓ -69% |
| Cigna | Commercial | $8.40 | ↓ -67% |
| Aetna | EBR ASO | $8.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $8.46 | ↓ -67% |
| Coventry/First Health | Commercial | $9.24 | ↓ -64% |
| UPMC Health Plan | Commercial | $9.45 | ↓ -63% |
| InterGroup | PPO | $10.50 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $10.50 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11.55 | ↓ -55% |
| Cigna Behavioral Health | Commercial | $12.60 | ↓ -51% |
| Private Health Care Systems | PPO | $15.75 | ↓ -39% |
| InterGroup | Approved National Affiliated PPO Business | $16.80 | ↓ -35% |
| American Healthcare Group | Commercial | $16.80 | ↓ -35% |
| National Provider Network | PPO | $17.22 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $18.04 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $18.55 | ↓ -28% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $18.90 | ↓ -27% |
| Health Payors Organization | Commercial | $18.90 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $24.15 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Indemnity | $24.84 | ↓ -4% |
Visitor-reported prices
Comments
Inj naloxone hydrochloride at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $76.20 | $6.40 – $10.49 |
| UPMC Passavant-McCandless | Pittsburgh | $58.80 | $6.40 – $6.40 |
| UPMC St. Margaret | Pittsburgh | $67.80 | $6.40 – $6.40 |
| UPMC Altoona | Altoona | $75.00 | $6.34 – $33.60 |
| UPMC Bedford | Everett | $66.00 | $8.46 – $49.50 |
| UPMC Carlisle | Carlisle | $9.00 | $0.82 – $10.28 |
| UPMC Cole | Coudersport | $41.40 | $1.94 – $5.60 |
| UPMC Community Osteopathic | Harrisburg | $9.00 | $1.20 – $10.55 |