healthcosts.net
Ibutilide fumarate 0.1 mg/ml intravenous solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$496.00
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.
$620.00
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.
$146.81 with Aetna vs $2,274.98 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $146.81 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $148.77 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $150.48 | ↓ -70% |
| Aetna | Home Depot Employer Group | $159.63 | ↓ -68% |
| Aetna | NBR ASO/FI | $163.12 | ↓ -67% |
| Cigna | New Business ASO | $163.12 | ↓ -67% |
| Aetna of PA | Medicare | $180.93 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $186.08 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $186.09 | ↓ -62% |
| Aetna | Medicare | $189.54 | ↓ -62% |
| Aetna | EBR FI | $221.38 | ↓ -55% |
| Aetna | EBR ASO | $233.03 | ↓ -53% |
| Cigna | Commercial | $233.03 | ↓ -53% |
| UPMC Health Plan | Commercial | $285.76 | ↓ -42% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $294.97 | ↓ -41% |
| PA Health & Wellness | PA Medicaid HMO | $320.42 | ↓ -35% |
| Coventry/First Health | Commercial | $407.81 | ↓ -18% |
| Private Health Care Systems | PPO | $466.06 | ↓ -6% |
| SelectCare | Commercial | $466.06 | ↓ -6% |
| Humana | Commercial | $495.19 | ↓ -0% |
| Highmark BCBS of PA | Managed Care - Social Mission | $849.38 | ↑ +71% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $853.73 | ↑ +72% |
| Highmark BCBS of PA | Managed Care | $1,137.49 | ↑ +129% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,143.38 | ↑ +131% |
| Highmark BCBS of PA | UPMC Emergent | $2,274.98 | ↑ +359% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ibutilide fumarate 0.1 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $642.60 | $143.64 – $524.32 |
| UPMC Passavant-McCandless | Pittsburgh | $709.80 | $160.13 – $1,005.55 |
| UPMC Muncy | Muncy | $2,792.80 | $172.31 – $3,141.90 |
| UPMC Wellsboro | Wellsboro | $2,792.80 | $172.31 – $3,141.90 |
| UPMC Williamsport | Williamsport | $2,792.80 | $172.31 – $3,141.90 |
| UPMC Northwest | Seneca | not published | $156.27 – $495.19 |