healthcosts.net
Hyaluronidase 150 unit/ml injection solution at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$60.00
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.
$100.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.23 with Highmark BCBS of PA vs $85.79 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare Advantage | $10.23 | ↓ -83% |
| Aetna | CHIP/Medicaid | $12.24 | ↓ -80% |
| Aetna | Medicare | $17.00 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $20.34 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $22.22 | ↓ -63% |
| Multiplan | Worker's Compensation | $25.84 | ↓ -57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.03 | ↓ -47% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.22 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $32.22 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicaid | $32.22 | ↓ -46% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.22 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $32.94 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $34.00 | ↓ -43% |
| UPMC Health Plan | Commercial | $39.63 | ↓ -34% |
| Highmark BCBS of PA | Managed Care | $42.89 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity | $44.11 | ↓ -26% |
| Preferred Healthcare System | PPO | $44.20 | ↓ -26% |
| Coventry/First Health | Commercial | $47.60 | ↓ -21% |
| Fidelis | Medicare | $51.00 | ↓ -15% |
| InterGroup | InterGroup Services Corporation | $51.00 | ↓ -15% |
| Health Coalition Partners | Intergroup | $54.40 | ↓ -9% |
| Multiplan | PPO | $54.40 | ↓ -9% |
| Private Health Care Systems | PPO | $54.40 | ↓ -9% |
| SelectCare | Commercial | $54.40 | ↓ -9% |
| Health Payors Organization | Commercial | $57.80 | ↓ -4% |
| Humana | Commercial | $57.80 | ↓ -4% |
| InterGroup | Approved National Affiliated PPO Business | $57.80 | ↓ -4% |
| Highmark BCBS of PA | UPMC Emergent | $85.79 | ↑ +43% |
Visitor-reported prices
Comments
Hyaluronidase 150 unit/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC St. Margaret | Pittsburgh | $43.80 | $10.23 – $62.05 |
| UPMC Muncy | Muncy | $259.20 | $32.22 – $388.80 |
| UPMC Wellsboro | Wellsboro | $259.20 | $32.22 – $388.80 |