healthcosts.net
Tetanus immune globulin inj at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$1,368.00
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.
?
What you pay up front if you don't use insurance.
$1,710.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$185.88 with Highmark BCBS of PA vs $1,269.77 with Health Payors Organization — 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 | $185.88 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $374.42 | ↓ -73% |
| Aetna | Neighborhood Network | $393.63 | ↓ -71% |
| Aetna | Home Depot Employer Group | $429.60 | ↓ -69% |
| Aetna | NBR ASO/FI | $437.36 | ↓ -68% |
| Cigna | New Business ASO | $479.69 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $489.99 | ↓ -64% |
| Bravo | Medicare | $493.80 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $494.32 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $528.90 | ↓ -61% |
| Aetna | EBR FI | $536.12 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $543.93 | ↓ -60% |
| Cigna | Commercial | $564.34 | ↓ -59% |
| Aetna | EBR ASO | $564.34 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $593.00 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $593.00 | ↓ -57% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $593.00 | ↓ -57% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $608.54 | ↓ -56% |
| Coventry/First Health | Commercial | $620.77 | ↓ -55% |
| Aetna of PA | Medicare | $622.65 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $640.44 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $640.44 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $640.44 | ↓ -53% |
| Aetna | Medicare | $652.30 | ↓ -52% |
| UPMC Health Plan | CHIP | $671.41 | ↓ -51% |
| InterGroup | PPO | $705.42 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $708.35 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $728.51 | ↓ -47% |
| UPMC Health Plan | Commercial | $729.39 | ↓ -47% |
| Cigna Behavioral Health | Commercial | $846.51 | ↓ -38% |
| Private Health Care Systems | PPO | $1,058.14 | ↓ -23% |
| InterGroup | Approved National Affiliated PPO Business | $1,128.68 | ↓ -17% |
| American Healthcare Group | Commercial | $1,128.68 | ↓ -17% |
| National Provider Network | PPO | $1,156.90 | ↓ -15% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,269.77 | ↓ -7% |
| Health Payors Organization | Commercial | $1,269.77 | ↓ -7% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Tetanus immune globulin inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,524.00 | $187.65 – $1,503.65 |
| UPMC Presbyterian | Pittsburgh | $1,524.00 | $187.65 – $2,159.00 |
| UPMC St. Margaret | Pittsburgh | $1,240.00 | $187.65 – $1,199.22 |
| UPMC Western Psychiatric | Pittsburgh | $1,524.00 | $183.88 – $2,159.00 |
| UPMC Muncy | Muncy | $2,306.40 | $244.65 – $1,467.90 |
| UPMC Northwest | Seneca | $1,378.40 | $374.42 – $1,199.22 |
| UPMC Somerset | Somerset | $389.40 | $184.00 – $593.00 |
| UPMC Wellsboro | Wellsboro | $2,306.40 | $293.58 – $1,467.90 |