Azithromycin dihydrate, oral at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$202.80
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.
$338.00
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.
$0.22 with Health Partners Plans (Jefferson Health Plan) vs $333.55 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.22 | ↓ -100% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $9.00 | ↓ -96% |
| Highmark BCBS of PA | Medicare Advantage | $39.76 | ↓ -80% |
| Aetna | CHIP/Medicaid | $46.62 | ↓ -77% |
| Aetna | Medicare | $64.75 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $84.64 | ↓ -58% |
| Multiplan | Worker's Compensation | $98.42 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $124.53 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $128.07 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $129.50 | ↓ -36% |
| UPMC Health Plan | Commercial | $142.06 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $142.45 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $166.78 | ↓ -18% |
| Preferred Healthcare System | PPO | $168.35 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $171.52 | ↓ -15% |
| Coventry/First Health | Commercial | $181.30 | ↓ -11% |
| InterGroup | InterGroup Services Corporation | $194.25 | ↓ -4% |
| Fidelis | Medicare | $194.25 | ↓ -4% |
| Health Coalition Partners | Intergroup | $207.20 | ↑ +2% |
| SelectCare | Commercial | $207.20 | ↑ +2% |
| Multiplan | PPO | $207.20 | ↑ +2% |
| Private Health Care Systems | PPO | $207.20 | ↑ +2% |
| InterGroup | Approved National Affiliated PPO Business | $220.15 | ↑ +9% |
| Humana | Commercial | $220.15 | ↑ +9% |
| Health Payors Organization | Commercial | $220.15 | ↑ +9% |
| Highmark BCBS of PA | UPMC Emergent | $333.55 | ↑ +64% |
Visitor-reported prices
Comments
Azithromycin dihydrate, oral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $202.80 | $0.24 – $87.86 |
| UPMC Mercy | Pittsburgh | $95.20 | $1.31 – $69.38 |
| UPMC Passavant-McCandless | Pittsburgh | $202.80 | $0.23 – $127.50 |
| UPMC St. Margaret | Pittsburgh | $128.80 | $39.76 – $107.82 |
| UPMC Western Psychiatric | Pittsburgh | $202.80 | $38.96 – $38.96 |
| UPMC Altoona | Altoona | $76.40 | $5.58 – $87.86 |
| UPMC Bedford | Everett | $334.40 | $0.22 – $129.60 |
| UPMC East | Monroeville | $235.20 | $12.62 – $128.80 |