healthcosts.net
Pyridoxine hcl 100 mg at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$19.20
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.
$24.00
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.
$0.92 with Highmark BCBS of PA vs $20.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $0.92 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2.65 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2.66 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $3.55 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity | $3.56 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $3.82 | ↓ -80% |
| Aetna | Medicare | $6.00 | ↓ -69% |
| Aetna | Neighborhood Network | $6.05 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.05 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $6.05 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $6.20 | ↓ -68% |
| Aetna | Home Depot Employer Group | $6.58 | ↓ -66% |
| Aetna | NBR ASO/FI | $6.72 | ↓ -65% |
| Cigna | New Business ASO | $6.72 | ↓ -65% |
| Highmark BCBS of PA | UPMC Emergent | $7.09 | ↓ -63% |
| UPMC Health Plan | Commercial | $7.44 | ↓ -61% |
| Aetna | EBR FI | $9.12 | ↓ -53% |
| Aetna | EBR ASO | $9.60 | ↓ -50% |
| Cigna | Commercial | $9.60 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.00 | ↓ -38% |
| Coventry/First Health | Commercial | $16.80 | ↓ -13% |
| Private Health Care Systems | PPO | $19.20 | ↑ +0% |
| SelectCare | Commercial | $19.20 | ↑ +0% |
| Humana | Commercial | $20.40 | ↑ +6% |
Visitor-reported prices
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Pyridoxine hcl 100 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $19.20 | $0.91 – $21.60 |
| UPMC Passavant-McCandless | Pittsburgh | $58.80 | $0.92 – $20.40 |
| UPMC Presbyterian | Pittsburgh | $58.80 | $0.92 – $83.30 |
| UPMC Western Psychiatric | Pittsburgh | $58.80 | $0.90 – $83.30 |
| UPMC Muncy | Muncy | $70.20 | $3.45 – $20.70 |
| UPMC Northwest | Seneca | $21.60 | $2.36 – $22.95 |
| UPMC Somerset | Somerset | $12.60 | $0.90 – $17.20 |
| UPMC Wellsboro | Wellsboro | $70.20 | $4.14 – $20.70 |