healthcosts.net
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$8.60
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.
$10.75
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.
$0.63 with United Healthcare Community Plan for Families vs $15.63 with Highmark BCBS of PA — 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 | $0.63 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $0.69 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.08 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $1.08 | ↓ -87% |
| UPMC Health Plan | Commercial | $1.33 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2.03 | ↓ -76% |
| Aetna | Medicare | $2.50 | ↓ -71% |
| Aetna | Neighborhood Network | $2.52 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $2.58 | ↓ -70% |
| Aetna | Home Depot Employer Group | $2.74 | ↓ -68% |
| Aetna | NBR ASO/FI | $2.80 | ↓ -67% |
| Cigna | New Business ASO | $2.80 | ↓ -67% |
| Aetna | EBR FI | $3.80 | ↓ -56% |
| Aetna | EBR ASO | $4.00 | ↓ -53% |
| Cigna | Commercial | $4.00 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.00 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5.84 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5.87 | ↓ -32% |
| Coventry/First Health | Commercial | $7.00 | ↓ -19% |
| Highmark BCBS of PA | Managed Care | $7.82 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Indemnity | $7.86 | ↓ -9% |
| Private Health Care Systems | PPO | $8.00 | ↓ -7% |
| SelectCare | Commercial | $8.00 | ↓ -7% |
| Humana | Commercial | $8.50 | ↓ -1% |
| Highmark BCBS of PA | UPMC Emergent | $15.63 | ↑ +82% |
Visitor-reported prices
Comments
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $16.40 | $0.66 – $18.00 |
| UPMC Western Psychiatric | Pittsburgh | $10.35 | $1.08 – $14.66 |
| UPMC Muncy | Muncy | $5.40 | $0.75 – $4.50 |
| UPMC Northwest | Seneca | $11.00 | $0.60 – $11.05 |
| UPMC Somerset | Somerset | $0.60 | $0.34 – $1.99 |
| UPMC Wellsboro | Wellsboro | $5.40 | $0.57 – $4.50 |
| UPMC Williamsport | Williamsport | $5.40 | $1.08 – $5.40 |