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Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$348.60
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.
$581.00
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.
$11.47 with UPMC Health Plan vs $703.91 with Highmark BCBS of PA — 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 | $11.47 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.17 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.17 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $18.17 | ↓ -95% |
| UPMC Health Plan | Commercial | $22.35 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $95.70 | ↓ -73% |
| Aetna | Medicare | $114.50 | ↓ -67% |
| Cigna | New Business ASO | $155.72 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $164.83 | ↓ -53% |
| Cigna | Commercial | $183.20 | ↓ -47% |
| Private Health Care Systems | Workers' Comp | $191.67 | ↓ -45% |
| Health Plan of Upper Ohio Valley | Commercial | $211.60 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $229.00 | ↓ -34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $262.79 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $265.62 | ↓ -24% |
| Coventry/First Health | Commercial | $320.60 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $351.96 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Indemnity | $355.75 | ↑ +2% |
| InterGroup | PPO | $380.14 | ↑ +9% |
| Humana | Commercial | $389.30 | ↑ +12% |
| Multiplan | PPO (Includes Workers' Comp) | $389.30 | ↑ +12% |
| Private Health Care Systems | PPO | $389.30 | ↑ +12% |
| Highmark BCBS of PA | UPMC Emergent | $703.91 | ↑ +102% |
Visitor-reported prices
Comments
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $348.60 | $11.47 – $465.80 |
| UPMC St. Margaret | Pittsburgh | $4,447.80 | $11.47 – $726.75 |
| UPMC Western Psychiatric | Pittsburgh | $348.60 | $18.17 – $465.80 |
| UPMC Muncy | Muncy | $453.60 | $18.17 – $135.90 |
| UPMC Wellsboro | Wellsboro | $453.60 | $18.17 – $135.90 |
| UPMC Williamsport | Williamsport | $729.60 | $18.17 – $135.90 |