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Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$18.40
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.
$23.00
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.
$3.62 with Highmark BCBS of PA vs $27.93 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.62 | ↓ -80% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $5.27 | ↓ -71% |
| Aetna | Medicare | $5.75 | ↓ -69% |
| Aetna | Neighborhood Network | $5.80 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $5.94 | ↓ -68% |
| Aetna | Home Depot Employer Group | $6.30 | ↓ -66% |
| Aetna | NBR ASO/FI | $6.44 | ↓ -65% |
| Cigna | New Business ASO | $6.44 | ↓ -65% |
| Aetna | EBR FI | $8.74 | ↓ -53% |
| Aetna | EBR ASO | $9.20 | ↓ -50% |
| Cigna | Commercial | $9.20 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10.43 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10.48 | ↓ -43% |
| UPMC Health Plan | Commercial | $11.28 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.50 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $12.65 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $13.97 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $14.04 | ↓ -24% |
| Coventry/First Health | Commercial | $16.10 | ↓ -13% |
| Private Health Care Systems | PPO | $18.40 | ↑ +0% |
| SelectCare | Commercial | $18.40 | ↑ +0% |
| Humana | Commercial | $19.55 | ↑ +6% |
| Highmark BCBS of PA | UPMC Emergent | $27.93 | ↑ +52% |
Visitor-reported prices
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Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $19.60 | $3.59 – $22.05 |
| UPMC Passavant-McCandless | Pittsburgh | $20.25 | $3.62 – $14.45 |
| UPMC Presbyterian | Pittsburgh | $89.40 | $3.62 – $28.69 |
| UPMC Western Psychiatric | Pittsburgh | $20.25 | $3.55 – $28.69 |
| UPMC Muncy | Muncy | $27.00 | $2.51 – $15.07 |
| UPMC Northwest | Seneca | $15.40 | $4.81 – $16.36 |
| UPMC Wellsboro | Wellsboro | $27.00 | $3.02 – $15.07 |
| UPMC Williamsport | Williamsport | $27.00 | $4.52 – $15.07 |