healthcosts.net
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$104.80
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.
$131.00
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.
$5.30 with Highmark BCBS of PA vs $111.35 with Humana — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Managed Care - Social Mission | $5.30 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5.32 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $7.09 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity | $7.13 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $14.18 | ↓ -86% |
| Aetna | Medicare | $32.75 | ↓ -69% |
| Aetna | Neighborhood Network | $33.01 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $33.84 | ↓ -68% |
| Aetna | Home Depot Employer Group | $35.89 | ↓ -66% |
| Aetna | NBR ASO/FI | $36.68 | ↓ -65% |
| Cigna | New Business ASO | $36.68 | ↓ -65% |
| Aetna | EBR FI | $49.78 | ↓ -53% |
| Aetna | EBR ASO | $52.40 | ↓ -50% |
| Cigna | Commercial | $52.40 | ↓ -50% |
| UPMC Health Plan | Commercial | $64.26 | ↓ -39% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $65.50 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $65.50 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $72.05 | ↓ -31% |
| Coventry/First Health | Commercial | $91.70 | ↓ -13% |
| Private Health Care Systems | PPO | $104.80 | ↑ +0% |
| SelectCare | Commercial | $104.80 | ↑ +0% |
| Humana | Commercial | $111.35 | ↑ +6% |
Visitor-reported prices
Comments
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $34.20 | $1.82 – $37.80 |
| UPMC Passavant-McCandless | Pittsburgh | $201.00 | $5.05 – $21.25 |
| UPMC Presbyterian | Pittsburgh | $165.00 | $1.84 – $233.75 |
| UPMC Western Psychiatric | Pittsburgh | $165.00 | $68.75 – $233.75 |
| UPMC Muncy | Muncy | $30.80 | $5.70 – $34.20 |
| UPMC Northwest | Seneca | $63.40 | $4.73 – $67.15 |
| UPMC Wellsboro | Wellsboro | $30.80 | $6.84 – $34.20 |
| UPMC Williamsport | Williamsport | $30.80 | $8.37 – $27.90 |