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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at UPMC Passavant-McCandless

9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699

Source: hospital's published price file ↗ · Published Mar 7, 2026 · Ingested Aug 13, 2026

$117.60

Cash price

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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.

$196.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.03 with UPMC Health Plan vs $162.35 with Private Health Care Systems — 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 →

Payer
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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
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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 $2.03 ↓ -98%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $3.22 ↓ -97%
Highmark Wholecare (prev Gateway) Medicaid $3.22 ↓ -97%
PA Health & Wellness PA Medicaid HMO $3.22 ↓ -97%
UPMC Health Plan Commercial $3.96 ↓ -97%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $20.87 ↓ -82%
Highmark BCBS of PA Managed Care - Social Mission $32.05 ↓ -73%
Highmark BCBS of PA Commercial - Social Mission Indemnity $32.40 ↓ -72%
Highmark BCBS of PA Managed Care $42.92 ↓ -64%
Highmark BCBS of PA Commercial - Indemnity $43.39 ↓ -63%
Aetna Medicare $47.75 ↓ -59%
Cigna New Business ASO $64.94 ↓ -45%
UPMC Work Partners Workers Comp $68.74 ↓ -42%
Cigna Commercial $76.40 ↓ -35%
Private Health Care Systems Workers' Comp $79.93 ↓ -32%
Highmark BCBS of PA UPMC Emergent $85.85 ↓ -27%
Health Plan of Upper Ohio Valley Commercial $88.24 ↓ -25%
Highmark Wholecare (prev Gateway) Medicare $95.50 ↓ -19%
Coventry/First Health Commercial $133.70 ↑ +14%
InterGroup PPO $158.53 ↑ +35%
Humana Commercial $162.35 ↑ +38%
Multiplan PPO (Includes Workers' Comp) $162.35 ↑ +38%
Private Health Care Systems PPO $162.35 ↑ +38%

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $45.20 $1.88 – $20.67
UPMC Presbyterian Pittsburgh $797.40 $2.03 – $162.35
UPMC St. Margaret Pittsburgh $168.80 $1.88 – $20.87
UPMC Western Psychiatric Pittsburgh $115.20 $3.22 – $162.35
UPMC Muncy Muncy $87.60 $3.00 – $18.00
UPMC Northwest Seneca $117.00 $1.88 – $30.01
UPMC Somerset Somerset $60.00 $0.67 – $20.46
UPMC Wellsboro Wellsboro $87.60 $3.22 – $18.00

All Pennsylvania hospitals for this procedure →