healthcosts.net
Midazolam 1 mg/ml injection solution at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$47.40
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.
$79.00
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.
$0.10 with UPMC Health Plan vs $34.00 with InterGroup — 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 | $0.10 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.15 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.15 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.15 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.15 | ↓ -100% |
| UPMC Health Plan | Commercial | $0.19 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.42 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $2.80 | ↓ -94% |
| Aetna | CHIP/Medicaid | $7.20 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8.76 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9.01 | ↓ -81% |
| Aetna | Medicare | $10.00 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $11.73 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity | $12.06 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $13.07 | ↓ -72% |
| Multiplan | Worker's Compensation | $15.20 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.00 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $23.45 | ↓ -51% |
| Preferred Healthcare System | PPO | $26.00 | ↓ -45% |
| Coventry/First Health | Commercial | $28.00 | ↓ -41% |
| Fidelis | Medicare | $30.00 | ↓ -37% |
| InterGroup | InterGroup Services Corporation | $30.00 | ↓ -37% |
| Health Coalition Partners | Intergroup | $32.00 | ↓ -32% |
| Multiplan | PPO | $32.00 | ↓ -32% |
| Private Health Care Systems | PPO | $32.00 | ↓ -32% |
| SelectCare | Commercial | $32.00 | ↓ -32% |
| Health Payors Organization | Commercial | $34.00 | ↓ -28% |
| Humana | Commercial | $34.00 | ↓ -28% |
| InterGroup | Approved National Affiliated PPO Business | $34.00 | ↓ -28% |
Visitor-reported prices
Comments
Midazolam 1 mg/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $22.40 | $0.10 – $2.77 |
| UPMC St. Margaret | Pittsburgh | $36.60 | $0.10 – $2.80 |
| UPMC Western Psychiatric | Pittsburgh | $24.00 | $0.15 – $34.00 |
| UPMC Muncy | Muncy | $97.20 | $0.15 – $0.90 |
| UPMC Northwest | Seneca | $11.00 | $0.10 – $7.19 |
| UPMC Somerset | Somerset | $7.80 | $0.15 – $2.74 |
| UPMC Wellsboro | Wellsboro | $97.20 | $0.15 – $0.90 |
| UPMC Williamsport | Williamsport | $11.00 | $0.15 – $0.90 |