healthcosts.net
Digoxin immune fab 40 mg intravenous solution at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$11,176.20
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.
$18,627.00
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.
$1,297.62 with Highmark BCBS of PA vs $9,544.36 with Highmark BCBS of PA — 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 | $1,297.62 | ↓ -88% |
| Cigna | New Business ASO | $1,583.38 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $1,676.05 | ↓ -85% |
| Cigna | Commercial | $1,862.80 | ↓ -83% |
| Private Health Care Systems | Workers' Comp | $1,948.95 | ↓ -83% |
| Health Plan of Upper Ohio Valley | Commercial | $2,151.53 | ↓ -81% |
| Coventry/First Health | Commercial | $3,259.90 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $3,263.22 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,563.14 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,601.59 | ↓ -68% |
| InterGroup | PPO | $3,865.31 | ↓ -65% |
| Private Health Care Systems | PPO | $3,958.45 | ↓ -65% |
| Multiplan | PPO (Includes Workers' Comp) | $3,958.45 | ↓ -65% |
| Humana | Commercial | $3,958.45 | ↓ -65% |
| Highmark BCBS of PA | Managed Care | $4,772.18 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $4,802.84 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,823.56 | ↓ -57% |
| Health Plan of Upper Ohio Valley | Medicare | $5,168.23 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $5,168.23 | ↓ -54% |
| Health Plan of Upper Ohio Valley | Medicaid | $5,168.23 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,168.23 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,168.23 | ↓ -54% |
| United Healthcare | Unison Advantage Non Special Needs | $5,426.64 | ↓ -51% |
| Aetna of PA | Medicare | $5,426.64 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,581.17 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $5,581.69 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,581.69 | ↓ -50% |
| Aetna | Medicare | $5,685.05 | ↓ -49% |
| United Healthcare | Unison Advantage Special Needs | $5,685.05 | ↓ -49% |
| UPMC Health Plan | Commercial | $6,356.92 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $9,544.36 | ↓ -15% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Digoxin immune fab 40 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,544.00 | $1,285.38 – $11,862.00 |
| UPMC Presbyterian | Pittsburgh | $11,176.20 | $1,297.62 – $15,832.95 |
| UPMC St. Margaret | Pittsburgh | $11,176.80 | $1,297.62 – $11,875.35 |
| UPMC Western Psychiatric | Pittsburgh | $11,176.20 | $1,271.55 – $15,832.95 |
| UPMC Muncy | Muncy | $16,441.80 | $1,903.80 – $11,422.80 |
| UPMC Northwest | Seneca | $8,382.60 | $3,263.22 – $11,875.35 |
| UPMC Somerset | Somerset | $2,869.80 | $1,272.38 – $5,168.23 |
| UPMC Wellsboro | Wellsboro | $16,441.80 | $2,284.56 – $11,422.80 |