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Methotrexate sodium 2.5 mg tablet at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$28.65
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.
$47.75
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.
$0.12 with UPMC Health Plan vs $36.99 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 | $0.12 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $0.17 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.19 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.19 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $0.19 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison Kids | $0.19 | ↓ -99% |
| UPMC Health Plan | Commercial | $0.23 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.22 | ↓ -75% |
| Aetna | Medicare | $7.50 | ↓ -74% |
| Cigna | New Business ASO | $10.20 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $10.80 | ↓ -62% |
| Cigna | Commercial | $12.00 | ↓ -58% |
| Private Health Care Systems | Workers' Comp | $12.55 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $13.81 | ↓ -52% |
| Health Plan of Upper Ohio Valley | Commercial | $13.86 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $13.96 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.00 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $18.49 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity | $18.69 | ↓ -35% |
| Coventry/First Health | Commercial | $21.00 | ↓ -27% |
| InterGroup | PPO | $24.90 | ↓ -13% |
| Humana | Commercial | $25.50 | ↓ -11% |
| Multiplan | PPO (Includes Workers' Comp) | $25.50 | ↓ -11% |
| Private Health Care Systems | PPO | $25.50 | ↓ -11% |
| Highmark BCBS of PA | UPMC Emergent | $36.99 | ↑ +29% |
Visitor-reported prices
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Methotrexate sodium 2.5 mg tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $17.20 | $0.12 – $7.16 |
| UPMC Presbyterian | Pittsburgh | $28.65 | $0.12 – $39.95 |
| UPMC St. Margaret | Pittsburgh | $32.20 | $0.12 – $7.22 |
| UPMC Western Psychiatric | Pittsburgh | $28.65 | $0.19 – $40.59 |
| UPMC Muncy | Muncy | $38.60 | $0.19 – $43.20 |
| UPMC Northwest | Seneca | $29.80 | $0.12 – $12.93 |
| UPMC Somerset | Somerset | $1.80 | $0.19 – $7.08 |
| UPMC Wellsboro | Wellsboro | $38.60 | $0.16 – $43.20 |