healthcosts.net
Fluphenazine decanoate 25 mg/ml injection solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$735.00
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.
$1,225.00
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.
$4.61 with UPMC Health Plan vs $214.63 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 | $4.61 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.30 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $7.30 | ↓ -99% |
| UPMC Health Plan | Commercial | $8.99 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $13.70 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $27.83 | ↓ -96% |
| Aetna | Medicare | $61.25 | ↓ -92% |
| Aetna | Neighborhood Network | $61.74 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $63.28 | ↓ -91% |
| Aetna | Home Depot Employer Group | $67.13 | ↓ -91% |
| Aetna | NBR ASO/FI | $68.60 | ↓ -91% |
| Cigna | New Business ASO | $68.60 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $80.13 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $80.54 | ↓ -89% |
| Aetna | EBR FI | $93.10 | ↓ -87% |
| Aetna | EBR ASO | $98.00 | ↓ -87% |
| Cigna | Commercial | $98.00 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $107.32 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Indemnity | $107.87 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $122.50 | ↓ -83% |
| Coventry/First Health | Commercial | $171.50 | ↓ -77% |
| Private Health Care Systems | PPO | $196.00 | ↓ -73% |
| SelectCare | Commercial | $196.00 | ↓ -73% |
| Humana | Commercial | $208.25 | ↓ -72% |
| Highmark BCBS of PA | UPMC Emergent | $214.63 | ↓ -71% |
Visitor-reported prices
Comments
Fluphenazine decanoate 25 mg/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $467.20 | $4.61 – $72.00 |
| UPMC Passavant-McCandless | Pittsburgh | $299.40 | $4.61 – $198.05 |
| UPMC Presbyterian | Pittsburgh | $1,498.80 | $4.61 – $420.75 |
| UPMC Western Psychiatric | Pittsburgh | $299.40 | $7.30 – $423.30 |
| UPMC Muncy | Muncy | $718.20 | $7.30 – $126.90 |
| UPMC Northwest | Seneca | $346.20 | $4.61 – $98.60 |
| UPMC Wellsboro | Wellsboro | $718.20 | $7.30 – $126.90 |
| UPMC Williamsport | Williamsport | $276.00 | $7.30 – $215.10 |