healthcosts.net
Inj melpha hydroch nos 50 mg at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$2,408.98
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.
$60.55 with UPMC Health Plan vs $4,752.43 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 | $60.55 | — |
| UPMC Health Plan | Managed Medicare | $82.80 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $95.90 | — |
| PA Health & Wellness | PA Medicaid HMO | $95.90 | — |
| Aetna of PA | Medicare | $100.69 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $103.56 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $103.57 | — |
| Aetna | Medicare | $105.49 | — |
| UPMC Health Plan | Commercial | $117.96 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $343.94 | — |
| Aetna | Neighborhood Network | $607.06 | — |
| UPMC Work Partners | Workers Comp | $622.24 | — |
| Aetna | Home Depot Employer Group | $660.06 | — |
| Aetna | NBR ASO/FI | $674.51 | — |
| Cigna | New Business ASO | $674.51 | — |
| Aetna | EBR FI | $915.41 | — |
| Aetna | EBR ASO | $963.59 | — |
| Cigna | Commercial | $963.59 | — |
| Coventry/First Health | Commercial | $1,686.29 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,774.35 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,783.44 | — |
| Private Health Care Systems | PPO | $1,927.18 | — |
| SelectCare | Commercial | $1,927.18 | — |
| Humana | Commercial | $2,047.63 | — |
| Highmark BCBS of PA | Managed Care | $2,376.22 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $2,388.53 | — |
| Highmark BCBS of PA | UPMC Emergent | $4,752.43 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Inj melpha hydroch nos 50 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $6,460.20 | $60.55 – $9,151.95 |
| UPMC Presbyterian | Pittsburgh | $6,460.20 | $60.55 – $9,151.95 |
| UPMC Western Psychiatric | Pittsburgh | $6,460.20 | $95.90 – $9,151.95 |
| UPMC Mercy | Pittsburgh | not published | $60.55 – $2,168.08 |
| UPMC Northwest | Seneca | not published | $60.55 – $2,047.63 |