healthcosts.net
Cabergoline, oral 0.25mg at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$242.40
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.
?
What you pay up front if you don't use insurance.
$303.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.68 with United Healthcare Community Plan for Families vs $219.30 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1.68 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $32.91 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $58.95 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $59.25 | ↓ -76% |
| Aetna | Medicare | $64.50 | ↓ -73% |
| Aetna | Neighborhood Network | $65.02 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $66.64 | ↓ -73% |
| Aetna | Home Depot Employer Group | $70.69 | ↓ -71% |
| Aetna | NBR ASO/FI | $72.24 | ↓ -70% |
| Cigna | New Business ASO | $72.24 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $78.95 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity | $79.36 | ↓ -67% |
| Aetna | EBR FI | $98.04 | ↓ -60% |
| Aetna | EBR ASO | $103.20 | ↓ -57% |
| Cigna | Commercial | $103.20 | ↓ -57% |
| UPMC Health Plan | Commercial | $126.55 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $129.00 | ↓ -47% |
| PA Health & Wellness | PA Medicaid HMO | $141.90 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $157.90 | ↓ -35% |
| Coventry/First Health | Commercial | $180.60 | ↓ -25% |
| Private Health Care Systems | PPO | $206.40 | ↓ -15% |
| SelectCare | Commercial | $206.40 | ↓ -15% |
| Humana | Commercial | $219.30 | ↓ -10% |
Visitor-reported prices
Comments
Cabergoline, oral 0.25mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $154.80 | $1.76 – $115.20 |
| UPMC Passavant-McCandless | Pittsburgh | $181.80 | $1.60 – $100.30 |
| UPMC Presbyterian | Pittsburgh | $142.20 | $1.53 – $100.30 |
| UPMC Western Psychiatric | Pittsburgh | $70.80 | $29.50 – $100.30 |
| UPMC Northwest | Seneca | $105.00 | $1.60 – $74.80 |