healthcosts.net
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
not published by hospital
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.
$67.84
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.
$0.96 with UPMC Health Plan vs $61.06 with Multiplan — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $0.96 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.51 | — |
| Geisinger | Medicaid/CHIP | $1.51 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.51 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1.69 | — |
| UPMC Health Plan | CHIP | $1.75 | — |
| UPMC Health Plan | Commercial | $1.86 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $4.81 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4.95 | — |
| Highmark BCBS of PA | Managed Care | $6.45 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $6.63 | — |
| Aetna | Medicare | $16.96 | — |
| Aetna | Neighborhood Network | $18.93 | — |
| Aetna | Home Depot Employer Group | $20.66 | — |
| Aetna | NBR ASO/FI | $21.03 | — |
| Cigna | New Business ASO | $23.07 | — |
| UPMC Work Partners | Workers Comp | $23.56 | — |
| Bravo | Medicare | $23.74 | — |
| Aetna | EBR FI | $25.78 | — |
| Aetna | EBR ASO | $27.14 | — |
| Cigna | Commercial | $27.14 | — |
| Coventry/First Health | Commercial | $29.85 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $33.92 | — |
| InterGroup | PPO | $33.92 | — |
| Cigna Behavioral Health | Commercial | $40.70 | — |
| Private Health Care Systems | PPO | $50.88 | — |
| American Healthcare Group | Commercial | $54.27 | — |
| InterGroup | Approved National Affiliated PPO Business | $54.27 | — |
| National Provider Network | PPO | $55.63 | — |
| Health Payors Organization | Commercial | $61.06 | — |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $61.06 | — |
Visitor-reported prices
Comments
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $94.80 | $0.96 – $12.75 |
| UPMC St. Margaret | Pittsburgh | not published | $0.96 – $57.66 |
| UPMC Muncy | Muncy | $135.00 | $1.51 – $9.90 |
| UPMC Somerset | Somerset | $15.60 | $0.34 – $1.75 |
| UPMC Wellsboro | Wellsboro | $135.00 | $1.51 – $9.90 |
| UPMC Williamsport | Williamsport | $6.60 | $1.51 – $9.90 |
| UPMC Northwest | Seneca | not published | $0.96 – $57.66 |