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Baclofen 50 mcg/ml intrathecal solution (wrapper) at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$720.00
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.
$900.00
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.
$31.54 with UPMC Health Plan vs $1,128.88 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 | $31.54 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.95 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $49.95 | ↓ -93% |
| UPMC Health Plan | Commercial | $61.44 | ↓ -91% |
| Aetna | Medicare | $103.03 | ↓ -86% |
| Aetna | Neighborhood Network | $103.86 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $106.45 | ↓ -85% |
| Aetna | Home Depot Employer Group | $112.92 | ↓ -84% |
| Aetna | NBR ASO/FI | $115.40 | ↓ -84% |
| Cigna | New Business ASO | $115.40 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $146.37 | ↓ -80% |
| Aetna | EBR FI | $156.61 | ↓ -78% |
| Aetna | EBR ASO | $164.85 | ↓ -77% |
| Cigna | Commercial | $164.85 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $206.06 | ↓ -71% |
| Coventry/First Health | Commercial | $288.49 | ↓ -60% |
| Private Health Care Systems | PPO | $329.70 | ↓ -54% |
| SelectCare | Commercial | $329.70 | ↓ -54% |
| Humana | Commercial | $350.31 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $421.47 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $423.63 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $564.44 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Indemnity | $567.36 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $1,128.88 | ↑ +57% |
Visitor-reported prices
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Baclofen 50 mcg/ml intrathecal solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $517.60 | $31.54 – $370.92 |
| UPMC Passavant-McCandless | Pittsburgh | $420.00 | $31.54 – $595.00 |
| UPMC Presbyterian | Pittsburgh | $3,171.60 | $31.54 – $595.00 |
| UPMC Western Psychiatric | Pittsburgh | $420.00 | $49.95 – $595.00 |
| UPMC Muncy | Muncy | $337.80 | $49.95 – $506.70 |
| UPMC Somerset | Somerset | $43.80 | $10.77 – $143.52 |
| UPMC Wellsboro | Wellsboro | $337.80 | $49.95 – $506.70 |
| UPMC Northwest | Seneca | not published | $31.54 – $376.30 |