healthcosts.net
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$32.00
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.
?
What you pay up front if you don't use insurance.
$630.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3.62 with Aetna vs $48.63 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 |
|---|---|---|---|
| Aetna | Medicare | $3.62 | ↓ -89% |
| Aetna | Neighborhood Network | $3.65 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $3.75 | ↓ -88% |
| Aetna | Home Depot Employer Group | $3.97 | ↓ -88% |
| Aetna | NBR ASO/FI | $4.06 | ↓ -87% |
| Cigna | New Business ASO | $4.06 | ↓ -87% |
| Aetna | EBR FI | $5.51 | ↓ -83% |
| Aetna | EBR ASO | $5.80 | ↓ -82% |
| Cigna | Commercial | $5.80 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.31 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.25 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $7.61 | ↓ -76% |
| Coventry/First Health | Commercial | $10.15 | ↓ -68% |
| Private Health Care Systems | PPO | $11.60 | ↓ -64% |
| SelectCare | Commercial | $11.60 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.05 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $12.05 | ↓ -62% |
| Humana | Commercial | $12.32 | ↓ -62% |
| UPMC Health Plan | Commercial | $14.83 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $18.16 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $18.25 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $24.31 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $24.44 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $48.63 | ↑ +52% |
Visitor-reported prices
Comments
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $14.40 | $3.62 – $13.05 |
| UPMC Passavant-McCandless | Pittsburgh | $285.60 | $4.00 – $13.60 |
| UPMC Presbyterian | Pittsburgh | $102.60 | $6.31 – $47.60 |
| UPMC Western Psychiatric | Pittsburgh | $43.80 | $6.18 – $62.05 |
| UPMC Northwest | Seneca | $12.80 | $3.62 – $16.21 |
| UPMC Somerset | Somerset | $10.20 | $0.34 – $13.05 |
| UPMC Williamsport | Williamsport | $61.40 | $5.40 – $18.00 |
| UPMC Muncy | Muncy | $918.00 | $3.00 – $18.00 |