healthcosts.net
Naltrexone, depot form at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$18.00
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.
$22.50
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.
$2.68 with UPMC Health Plan vs $1,865.57 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $2.68 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $3.53 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.87 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $4.24 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.24 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.24 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.35 | ↓ -76% |
| Aetna of PA | Medicare | $4.45 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $4.58 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.58 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.58 | ↓ -75% |
| UPMC Health Plan | CHIP | $4.59 | ↓ -75% |
| Aetna | Medicare | $4.66 | ↓ -74% |
| UPMC Health Plan | Commercial | $5.22 | ↓ -71% |
| Aetna | Neighborhood Network | $6.14 | ↓ -66% |
| Aetna | Home Depot Employer Group | $6.70 | ↓ -63% |
| Aetna | NBR ASO/FI | $6.82 | ↓ -62% |
| Cigna | New Business ASO | $7.48 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $7.64 | ↓ -58% |
| Bravo | Medicare | $7.70 | ↓ -57% |
| Aetna | EBR FI | $8.36 | ↓ -54% |
| Cigna | Commercial | $8.80 | ↓ -51% |
| Aetna | EBR ASO | $8.80 | ↓ -51% |
| Coventry/First Health | Commercial | $9.68 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $11.00 | ↓ -39% |
| InterGroup | PPO | $11.00 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $11.31 | ↓ -37% |
| Cigna Behavioral Health | Commercial | $13.20 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $14.73 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Indemnity | $15.15 | ↓ -16% |
| Private Health Care Systems | PPO | $16.50 | ↓ -8% |
| InterGroup | Approved National Affiliated PPO Business | $17.60 | ↓ -2% |
| American Healthcare Group | Commercial | $17.60 | ↓ -2% |
| National Provider Network | PPO | $18.04 | ↑ +0% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $19.80 | ↑ +10% |
| Health Payors Organization | Commercial | $19.80 | ↑ +10% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,865.57 | ↑ +10264% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Naltrexone, depot form at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $12,768.00 | $2.68 – $1,622.23 |
| UPMC St. Margaret | Pittsburgh | $5,101.20 | $2.68 – $1,784.45 |
| UPMC Muncy | Muncy | $7,275.00 | $4.24 – $28.80 |
| UPMC Wellsboro | Wellsboro | $7,275.00 | $4.24 – $1,622.23 |
| UPMC Williamsport | Williamsport | $7,275.00 | $4.24 – $28.80 |