healthcosts.net
Ceftriaxone 1 gram solution for injection at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$257.40
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.
$429.00
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.
$0.27 with UPMC Health Plan vs $372.12 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 | $0.27 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.43 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.43 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.43 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.43 | ↓ -100% |
| UPMC Health Plan | Commercial | $0.53 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.84 | ↓ -100% |
| Aetna | CHIP/Medicaid | $35.10 | ↓ -86% |
| Highmark BCBS of PA | Medicare Advantage | $44.36 | ↓ -83% |
| Aetna | Medicare | $48.75 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $63.73 | ↓ -75% |
| Multiplan | Worker's Compensation | $74.10 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $97.50 | ↓ -62% |
| Preferred Healthcare System | PPO | $126.75 | ↓ -51% |
| Coventry/First Health | Commercial | $136.50 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $138.92 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $142.87 | ↓ -44% |
| Fidelis | Medicare | $146.25 | ↓ -43% |
| InterGroup | InterGroup Services Corporation | $146.25 | ↓ -43% |
| Health Coalition Partners | Intergroup | $156.00 | ↓ -39% |
| Multiplan | PPO | $156.00 | ↓ -39% |
| Private Health Care Systems | PPO | $156.00 | ↓ -39% |
| SelectCare | Commercial | $156.00 | ↓ -39% |
| Health Payors Organization | Commercial | $165.75 | ↓ -36% |
| Humana | Commercial | $165.75 | ↓ -36% |
| InterGroup | Approved National Affiliated PPO Business | $165.75 | ↓ -36% |
| Highmark BCBS of PA | Managed Care | $186.06 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $191.35 | ↓ -26% |
| Highmark BCBS of PA | UPMC Emergent | $372.12 | ↑ +45% |
Visitor-reported prices
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Ceftriaxone 1 gram solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $102.40 | $0.27 – $43.94 |
| UPMC Passavant-McCandless | Pittsburgh | $1,013.40 | $0.27 – $118.15 |
| UPMC St. Margaret | Pittsburgh | $264.00 | $0.27 – $44.36 |
| UPMC Western Psychiatric | Pittsburgh | $257.40 | $0.43 – $165.75 |
| UPMC Muncy | Muncy | $50.20 | $0.30 – $1.80 |
| UPMC Northwest | Seneca | $177.60 | $0.27 – $114.05 |
| UPMC Somerset | Somerset | $37.20 | $0.34 – $43.50 |
| UPMC Wellsboro | Wellsboro | $75.00 | $0.36 – $1.80 |