healthcosts.net
Ondansetron 4 mg s0119 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$401.60
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.
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What you pay up front if you don't use insurance.
$502.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$0.18 with United Healthcare Community Plan for Families vs $267.75 with Humana — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.18 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $14.67 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.91 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $29.06 | ↓ -93% |
| Highmark BCBS of PA | Managed Care | $38.71 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $38.92 | ↓ -90% |
| UPMC Health Plan | Commercial | $59.71 | ↓ -85% |
| Highmark BCBS of PA | UPMC Emergent | $77.43 | ↓ -81% |
| Aetna | Medicare | $78.75 | ↓ -80% |
| Aetna | Neighborhood Network | $79.38 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $81.36 | ↓ -80% |
| Aetna | Home Depot Employer Group | $86.31 | ↓ -79% |
| Aetna | NBR ASO/FI | $88.20 | ↓ -78% |
| Cigna | New Business ASO | $88.20 | ↓ -78% |
| Aetna | EBR FI | $119.70 | ↓ -70% |
| Aetna | EBR ASO | $126.00 | ↓ -69% |
| Cigna | Commercial | $126.00 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $157.50 | ↓ -61% |
| PA Health & Wellness | PA Medicaid HMO | $173.25 | ↓ -57% |
| Coventry/First Health | Commercial | $220.50 | ↓ -45% |
| Private Health Care Systems | PPO | $252.00 | ↓ -37% |
| SelectCare | Commercial | $252.00 | ↓ -37% |
| Humana | Commercial | $267.75 | ↓ -33% |
Visitor-reported prices
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Ondansetron 4 mg s0119 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $107.20 | $0.11 – $76.05 |
| UPMC Passavant-McCandless | Pittsburgh | $428.40 | $0.10 – $70.62 |
| UPMC Presbyterian | Pittsburgh | $428.40 | $0.09 – $164.05 |
| UPMC Western Psychiatric | Pittsburgh | $428.40 | $14.38 – $164.05 |
| UPMC Muncy | Muncy | $136.80 | $25.65 – $153.90 |
| UPMC Northwest | Seneca | $228.80 | $0.17 – $229.50 |
| UPMC Wellsboro | Wellsboro | $136.80 | $0.16 – $153.90 |
| UPMC Williamsport | Williamsport | $136.80 | $46.17 – $153.90 |