healthcosts.net
Folic acid 5 mg/ml injection solution at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$1.05
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.
?
What you pay up front if you don't use insurance.
$1.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.04 with UPMC Health Plan vs $1.02 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.04 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.06 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $0.06 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.06 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.06 | ↓ -94% |
| UPMC Health Plan | Commercial | $0.08 | ↓ -92% |
| Aetna | CHIP/Medicaid | $0.18 | ↓ -83% |
| Aetna | Medicare | $0.25 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $0.33 | ↓ -69% |
| Multiplan | Worker's Compensation | $0.38 | ↓ -64% |
| Highmark BCBS of PA | Medicare Advantage | $0.50 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.50 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $0.51 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $0.51 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity | $0.53 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.53 | ↓ -50% |
| Preferred Healthcare System | PPO | $0.65 | ↓ -38% |
| Coventry/First Health | Commercial | $0.70 | ↓ -33% |
| Fidelis | Medicare | $0.75 | ↓ -29% |
| InterGroup | InterGroup Services Corporation | $0.75 | ↓ -29% |
| Health Coalition Partners | Intergroup | $0.80 | ↓ -24% |
| Multiplan | PPO | $0.80 | ↓ -24% |
| Private Health Care Systems | PPO | $0.80 | ↓ -24% |
| SelectCare | Commercial | $0.80 | ↓ -24% |
| Health Payors Organization | Commercial | $0.85 | ↓ -19% |
| Humana | Commercial | $0.85 | ↓ -19% |
| InterGroup | Approved National Affiliated PPO Business | $0.85 | ↓ -19% |
| Highmark BCBS of PA | UPMC Emergent | $1.02 | ↓ -3% |
Visitor-reported prices
Comments
Folic acid 5 mg/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1.60 | $0.04 – $0.23 |
| UPMC Passavant-McCandless | Pittsburgh | $1.05 | $0.04 – $1.49 |
| UPMC St. Margaret | Pittsburgh | $0.80 | $0.04 – $0.64 |
| UPMC Western Psychiatric | Pittsburgh | $1.05 | $0.06 – $1.49 |
| UPMC Muncy | Muncy | $0.80 | $0.04 – $0.23 |
| UPMC Northwest | Seneca | $1.40 | $0.04 – $0.14 |
| UPMC Somerset | Somerset | $3.00 | $0.06 – $2.25 |
| UPMC Wellsboro | Wellsboro | $0.80 | $0.05 – $0.23 |