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Levothyroxine 100 mcg intravenous powder for solution at UPMC St. Margaret

815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$19.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$33.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.34 with UPMC Health Plan vs $33.00 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 →

Payer
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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
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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 $4.34 ↓ -78%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $6.87 ↓ -65%
PA Health & Wellness PA Medicaid HMO $6.87 ↓ -65%
Aetna Medicare $8.25 ↓ -58%
Aetna Neighborhood Network $8.32 ↓ -58%
UPMC Health Plan Commercial $8.45 ↓ -57%
UPMC Work Partners Workers Comp $8.52 ↓ -57%
Aetna Home Depot Employer Group $9.04 ↓ -54%
Aetna NBR ASO/FI $9.24 ↓ -53%
Cigna New Business ASO $9.24 ↓ -53%
Highmark BCBS of PA Managed Care - Social Mission $12.32 ↓ -38%
Highmark BCBS of PA Commercial - Social Mission Indemnity $12.38 ↓ -37%
Aetna EBR FI $12.54 ↓ -37%
Aetna EBR ASO $13.20 ↓ -33%
Cigna Commercial $13.20 ↓ -33%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $16.50 ↓ -17%
Highmark BCBS of PA Managed Care $16.50 ↓ -17%
Highmark Wholecare (prev Gateway) Medicare $16.50 ↓ -17%
Highmark BCBS of PA Commercial - Indemnity $16.58 ↓ -16%
Coventry/First Health Commercial $23.10 ↑ +17%
Private Health Care Systems PPO $26.40 ↑ +33%
SelectCare Commercial $26.40 ↑ +33%
Humana Commercial $28.05 ↑ +42%
Highmark BCBS of PA UPMC Emergent $33.00 ↑ +67%

Visitor-reported prices

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Levothyroxine 100 mcg intravenous powder for solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $21.00 $4.24 – $31.50
UPMC Passavant-McCandless Pittsburgh $19.80 $4.34 – $28.05
UPMC Presbyterian Pittsburgh $24.00 $4.28 – $29.75
UPMC Northwest Seneca $19.80 $4.34 – $28.05
UPMC Williamsport Williamsport $24.60 $6.87 – $27.00

All Pennsylvania hospitals for this procedure →