healthcosts.net
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$225.60
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.
$376.00
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.
$1.76 with Aetna vs $76.13 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 | Neighborhood Network | $1.76 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $1.81 | ↓ -99% |
| Aetna | Home Depot Employer Group | $1.92 | ↓ -99% |
| Aetna | NBR ASO/FI | $1.96 | ↓ -99% |
| Cigna | New Business ASO | $1.96 | ↓ -99% |
| Aetna | EBR FI | $2.66 | ↓ -99% |
| Aetna | EBR ASO | $2.80 | ↓ -99% |
| Cigna | Commercial | $2.80 | ↓ -99% |
| Coventry/First Health | Commercial | $4.90 | ↓ -98% |
| Private Health Care Systems | PPO | $5.60 | ↓ -98% |
| SelectCare | Commercial | $5.60 | ↓ -98% |
| Humana | Commercial | $5.95 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $9.87 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $18.95 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $25.91 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.42 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $28.57 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.01 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $30.01 | ↓ -87% |
| Aetna of PA | Medicare | $31.51 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $32.41 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $32.41 | ↓ -86% |
| Aetna | Medicare | $33.01 | ↓ -85% |
| UPMC Health Plan | Commercial | $36.91 | ↓ -84% |
| Highmark BCBS of PA | Managed Care | $38.06 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity | $38.26 | ↓ -83% |
| Highmark BCBS of PA | UPMC Emergent | $76.13 | ↓ -66% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $204.00 | $7.81 – $32.41 |
| UPMC Passavant-McCandless | Pittsburgh | $507.60 | $9.87 – $33.01 |
| UPMC Presbyterian | Pittsburgh | $1,641.00 | $9.87 – $58.65 |
| UPMC Muncy | Muncy | $1,494.00 | $12.00 – $72.00 |
| UPMC Northwest | Seneca | $96.00 | $4.69 – $32.41 |
| UPMC Somerset | Somerset | $96.00 | $9.68 – $103.50 |
| UPMC Wellsboro | Wellsboro | $1,494.00 | $14.40 – $72.00 |
| UPMC Williamsport | Williamsport | $1,422.60 | $21.70 – $72.00 |