healthcosts.net
Cabergoline, oral 0.25mg at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$142.20
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.
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What you pay up front if you don't use insurance.
$237.00
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.
$1.53 with Health Partners Plans (Jefferson Health Plan) vs $171.73 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 | $1.53 | ↓ -99% |
| Aetna | CHIP/Medicaid | $21.24 | ↓ -85% |
| Aetna | Medicare | $29.50 | ↓ -79% |
| Highmark BCBS of PA | Medicare Advantage | $32.91 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $38.56 | ↓ -73% |
| Multiplan | Worker's Compensation | $44.84 | ↓ -68% |
| UPMC Health Plan | Commercial | $55.33 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $59.00 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $64.11 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $64.90 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $65.94 | ↓ -54% |
| Preferred Healthcare System | PPO | $76.70 | ↓ -46% |
| Coventry/First Health | Commercial | $82.60 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $85.87 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $88.31 | ↓ -38% |
| Fidelis | Medicare | $88.50 | ↓ -38% |
| InterGroup | InterGroup Services Corporation | $88.50 | ↓ -38% |
| Health Coalition Partners | Intergroup | $94.40 | ↓ -34% |
| Multiplan | PPO | $94.40 | ↓ -34% |
| Private Health Care Systems | PPO | $94.40 | ↓ -34% |
| SelectCare | Commercial | $94.40 | ↓ -34% |
| Health Payors Organization | Commercial | $100.30 | ↓ -29% |
| Humana | Commercial | $100.30 | ↓ -29% |
| InterGroup | Approved National Affiliated PPO Business | $100.30 | ↓ -29% |
| Highmark BCBS of PA | UPMC Emergent | $171.73 | ↑ +21% |
Visitor-reported prices
Comments
Cabergoline, oral 0.25mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $154.80 | $1.76 – $115.20 |
| UPMC Passavant-McCandless | Pittsburgh | $181.80 | $1.60 – $100.30 |
| UPMC St. Margaret | Pittsburgh | $242.40 | $1.68 – $219.30 |
| UPMC Western Psychiatric | Pittsburgh | $70.80 | $29.50 – $100.30 |
| UPMC Northwest | Seneca | $105.00 | $1.60 – $74.80 |