healthcosts.net
Leuprolide 30 mg (4 month) intramuscular syringe kit at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$4,878.00
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.
$12,937.45
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.
$76.27 with Aetna vs $2,376.55 with United Healthcare Community Plan for Families — 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 | Neighborhood Network | $76.27 | ↓ -98% |
| Aetna | Home Depot Employer Group | $83.24 | ↓ -98% |
| Aetna | NBR ASO/FI | $84.75 | ↓ -98% |
| Cigna | New Business ASO | $92.95 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $94.94 | ↓ -98% |
| Bravo | Medicare | $95.68 | ↓ -98% |
| Aetna | EBR FI | $103.88 | ↓ -98% |
| Cigna | Commercial | $109.35 | ↓ -98% |
| Aetna | EBR ASO | $109.35 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $111.41 | ↓ -98% |
| Coventry/First Health | Commercial | $120.29 | ↓ -98% |
| InterGroup | PPO | $136.69 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $147.09 | ↓ -97% |
| Cigna Behavioral Health | Commercial | $164.03 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $176.45 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $176.45 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $176.45 | ↓ -96% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $181.07 | ↓ -96% |
| Aetna of PA | Medicare | $185.27 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $190.57 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $190.57 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $190.57 | ↓ -96% |
| Aetna | Medicare | $194.09 | ↓ -96% |
| Private Health Care Systems | PPO | $205.03 | ↓ -96% |
| UPMC Health Plan | CHIP | $210.38 | ↓ -96% |
| UPMC Health Plan | Commercial | $217.03 | ↓ -96% |
| InterGroup | Approved National Affiliated PPO Business | $218.70 | ↓ -96% |
| American Healthcare Group | Commercial | $218.70 | ↓ -96% |
| National Provider Network | PPO | $224.17 | ↓ -95% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $246.04 | ↓ -95% |
| Health Payors Organization | Commercial | $246.04 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $536.49 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,491.29 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,533.67 | ↓ -69% |
| Highmark BCBS of PA | Managed Care | $1,997.26 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,054.11 | ↓ -58% |
| United Healthcare Community Plan for Families | PA Medicaid | $2,376.55 | ↓ -51% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Leuprolide 30 mg (4 month) intramuscular syringe kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,967.00 | $111.41 – $2,169.89 |
| UPMC Presbyterian | Pittsburgh | $9,008.40 | $111.41 – $2,066.56 |
| UPMC St. Margaret | Pittsburgh | $5,001.00 | $68.89 – $2,273.22 |
| UPMC Western Psychiatric | Pittsburgh | $2,967.00 | $176.45 – $3,964.40 |
| UPMC Muncy | Muncy | $6,275.40 | $176.45 – $3,138.30 |
| UPMC Northwest | Seneca | $3,070.40 | $98.72 – $2,169.89 |
| UPMC Somerset | Somerset | $7,358.40 | $151.85 – $338.25 |
| UPMC Wellsboro | Wellsboro | $6,275.40 | $176.45 – $6,206.00 |