Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$4,538,400.00
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.
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What you pay up front if you don't use insurance.
$7,564,000.00
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.
$7.38 with Aetna vs $218.34 with Health Partners Plans (Jefferson Health Plan) — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $7.38 | ↓ -100% |
| Aetna | Medicare | $10.25 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $13.40 | ↓ -100% |
| Multiplan | Worker's Compensation | $15.58 | ↓ -100% |
| UPMC Health Plan | Commercial | $19.22 | ↓ -100% |
| Highmark BCBS of PA | Medicare Advantage | $20.50 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.50 | ↓ -100% |
| Highmark BCBS of PA | Managed Care | $20.91 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $20.91 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $21.73 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity | $21.73 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $22.55 | ↓ -100% |
| Preferred Healthcare System | PPO | $26.65 | ↓ -100% |
| Coventry/First Health | Commercial | $28.70 | ↓ -100% |
| InterGroup | InterGroup Services Corporation | $30.75 | ↓ -100% |
| Fidelis | Medicare | $30.75 | ↓ -100% |
| SelectCare | Commercial | $32.80 | ↓ -100% |
| Multiplan | PPO | $32.80 | ↓ -100% |
| Private Health Care Systems | PPO | $32.80 | ↓ -100% |
| Health Coalition Partners | Intergroup | $32.80 | ↓ -100% |
| InterGroup | Approved National Affiliated PPO Business | $34.85 | ↓ -100% |
| Humana | Commercial | $34.85 | ↓ -100% |
| Health Payors Organization | Commercial | $34.85 | ↓ -100% |
| Highmark BCBS of PA | UPMC Emergent | $41.82 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $218.34 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $83,609.40 | $240.18 – $240.18 |
| UPMC Mercy | Pittsburgh | $14,672.40 | $1,106.74 – $1,106.74 |
| UPMC Passavant-McCandless | Pittsburgh | $83,609.40 | $229.26 – $229.26 |
| UPMC St. Margaret | Pittsburgh | $5,649.60 | $240.18 – $240.18 |
| UPMC Altoona | Altoona | $25,164.00 | $89.78 – $208.00 |
| UPMC Bedford | Everett | $14,672.40 | $75.50 – $962.38 |
| UPMC Carlisle | Carlisle | $2,896.20 | $65.08 – $403.75 |
| UPMC Cole | Coudersport | $5,718.60 | $1,760.54 – $7,192.80 |