healthcosts.net
Micafungin 100 mg intravenous solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$26.20
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.
$109.23
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.
$0.16 with UPMC Health Plan vs $30.83 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 | $0.16 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.26 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $0.26 | ↓ -99% |
| UPMC Health Plan | Commercial | $0.31 | ↓ -99% |
| Aetna | Medicare | $2.00 | ↓ -92% |
| Aetna | Neighborhood Network | $2.02 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $2.07 | ↓ -92% |
| Aetna | Home Depot Employer Group | $2.19 | ↓ -92% |
| Aetna | NBR ASO/FI | $2.24 | ↓ -91% |
| Cigna | New Business ASO | $2.24 | ↓ -91% |
| Aetna | EBR FI | $3.04 | ↓ -88% |
| Aetna | EBR ASO | $3.20 | ↓ -88% |
| Cigna | Commercial | $3.20 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4.00 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.00 | ↓ -85% |
| Coventry/First Health | Commercial | $5.60 | ↓ -79% |
| Private Health Care Systems | PPO | $6.40 | ↓ -76% |
| SelectCare | Commercial | $6.40 | ↓ -76% |
| Humana | Commercial | $6.80 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $11.51 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $11.57 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $15.41 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity | $15.49 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $30.83 | ↑ +18% |
Visitor-reported prices
Comments
Micafungin 100 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7.00 | $0.16 – $7.20 |
| UPMC Passavant-McCandless | Pittsburgh | $36.60 | $0.16 – $10.20 |
| UPMC Presbyterian | Pittsburgh | $36.60 | $0.16 – $51.00 |
| UPMC Western Psychiatric | Pittsburgh | $36.60 | $0.26 – $51.64 |
| UPMC Muncy | Muncy | $5.80 | $0.26 – $6.30 |
| UPMC Northwest | Seneca | $7.00 | $0.16 – $10.28 |
| UPMC Somerset | Somerset | $112.20 | $0.26 – $3.92 |
| UPMC Wellsboro | Wellsboro | $5.80 | $0.26 – $6.30 |