Inj, vancomycin hcl (xellia) at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$25.20
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.
$42.00
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.
$3.48 with Highmark BCBS of PA vs $37.80 with Multiplan — 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 | $3.48 | ↓ -86% |
| UPMC Health Plan | CHIP | $7.63 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9.89 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10.17 | ↓ -60% |
| Aetna | Medicare | $10.50 | ↓ -58% |
| Aetna | Neighborhood Network | $11.72 | ↓ -53% |
| Aetna | Home Depot Employer Group | $12.79 | ↓ -49% |
| Aetna | NBR ASO/FI | $13.02 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $13.25 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Indemnity | $13.62 | ↓ -46% |
| Cigna | New Business ASO | $14.28 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $14.59 | ↓ -42% |
| Bravo | Medicare | $14.70 | ↓ -42% |
| Aetna | EBR FI | $15.96 | ↓ -37% |
| Aetna | EBR ASO | $16.80 | ↓ -33% |
| Cigna | Commercial | $16.80 | ↓ -33% |
| Coventry/First Health | Commercial | $18.48 | ↓ -27% |
| UPMC Health Plan | Commercial | $18.90 | ↓ -25% |
| InterGroup | PPO | $21.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.10 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $25.20 | ↑ +0% |
| Private Health Care Systems | PPO | $31.50 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $33.60 | ↑ +33% |
| American Healthcare Group | Commercial | $33.60 | ↑ +33% |
| National Provider Network | PPO | $34.44 | ↑ +37% |
| Health Payors Organization | Commercial | $37.80 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $37.80 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj, vancomycin hcl (xellia) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $39.00 | $3.51 – $7.63 |
| UPMC Passavant-McCandless | Pittsburgh | $36.00 | $3.51 – $3.51 |
| UPMC Presbyterian | Pittsburgh | $85.20 | $3.51 – $3.51 |
| UPMC St. Margaret | Pittsburgh | $24.00 | $3.51 – $3.51 |
| UPMC Bedford | Everett | $9.60 | $4.00 – $14.40 |
| UPMC East | Monroeville | $24.00 | $3.51 – $32.00 |
| UPMC Horizon-Greenville | Greenville | $54.60 | $6.38 – $8.86 |
| UPMC McKeesport | Mckeesport | $33.60 | $3.51 – $7.63 |