healthcosts.net
Leuprolide 30 mg (4 month) intramuscular syringe kit at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$9,008.40
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.
$15,014.00
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.
$111.41 with UPMC Health Plan vs $4,438.33 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 | $111.41 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $176.45 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $176.45 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $176.45 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $176.45 | ↓ -98% |
| Aetna | CHIP/Medicaid | $187.04 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $190.57 | ↓ -98% |
| United Healthcare | Medicare | $190.57 | ↓ -98% |
| Cigna Lifesource | Medicare Transplant | $190.57 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $190.57 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $190.57 | ↓ -98% |
| Aetna | Medicare | $194.09 | ↓ -98% |
| Aetna of PA | Medicare | $194.09 | ↓ -98% |
| UPMC Health Plan | Commercial | $217.03 | ↓ -98% |
| Highmark BCBS of PA | Medicare Advantage | $541.60 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $631.05 | ↓ -93% |
| Multiplan | Worker's Compensation | $733.78 | ↓ -92% |
| Preferred Healthcare System | PPO | $1,255.15 | ↓ -86% |
| Coventry/First Health | Commercial | $1,351.70 | ↓ -85% |
| Fidelis | Medicare | $1,448.25 | ↓ -84% |
| InterGroup | InterGroup Services Corporation | $1,448.25 | ↓ -84% |
| Health Coalition Partners | Intergroup | $1,544.80 | ↓ -83% |
| Private Health Care Systems | PPO | $1,544.80 | ↓ -83% |
| SelectCare | Commercial | $1,544.80 | ↓ -83% |
| Multiplan | PPO | $1,544.80 | ↓ -83% |
| InterGroup | Approved National Affiliated PPO Business | $1,641.35 | ↓ -82% |
| Health Payors Organization | Commercial | $1,641.35 | ↓ -82% |
| Humana | Commercial | $1,641.35 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,656.97 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,704.08 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,066.56 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $2,219.17 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,282.27 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $4,438.33 | ↓ -51% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Leuprolide 30 mg (4 month) intramuscular syringe kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,878.00 | $76.27 – $2,376.55 |
| UPMC Passavant-McCandless | Pittsburgh | $2,967.00 | $111.41 – $2,169.89 |
| UPMC St. Margaret | Pittsburgh | $5,001.00 | $68.89 – $2,273.22 |
| UPMC Western Psychiatric | Pittsburgh | $2,967.00 | $176.45 – $3,964.40 |
| UPMC Muncy | Muncy | $6,275.40 | $176.45 – $3,138.30 |
| UPMC Northwest | Seneca | $3,070.40 | $98.72 – $2,169.89 |
| UPMC Somerset | Somerset | $7,358.40 | $151.85 – $338.25 |
| UPMC Wellsboro | Wellsboro | $6,275.40 | $176.45 – $6,206.00 |