Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$67.84
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.
$0.96 with UPMC Health Plan vs $57.66 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $0.96 | — |
| PA Health & Wellness | PA Medicaid HMO | $1.51 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.51 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1.71 | — |
| UPMC Health Plan | Commercial | $1.86 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $4.92 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4.94 | — |
| Highmark BCBS of PA | Managed Care | $6.59 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $6.62 | — |
| Highmark BCBS of PA | UPMC Emergent | $13.17 | — |
| Aetna | Medicare | $16.96 | — |
| Aetna | Neighborhood Network | $17.10 | — |
| UPMC Work Partners | Workers Comp | $17.52 | — |
| Aetna | Home Depot Employer Group | $18.59 | — |
| Aetna | NBR ASO/FI | $19.00 | — |
| Cigna | New Business ASO | $19.00 | — |
| Aetna | EBR FI | $25.78 | — |
| Aetna | EBR ASO | $27.14 | — |
| Cigna | Commercial | $27.14 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $33.92 | — |
| Coventry/First Health | Commercial | $47.49 | — |
| Private Health Care Systems | PPO | $54.27 | — |
| SelectCare | Commercial | $54.27 | — |
| Humana | Commercial | $57.66 | — |
Visitor-reported prices
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Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $285.00 | $0.96 – $1.71 |
| UPMC Presbyterian | Pittsburgh | $94.80 | $0.96 – $1.71 |
| UPMC Mercy | Pittsburgh | not published | $0.96 – $1.69 |
| UPMC Carlisle | Carlisle | $15.60 | $0.14 – $2.13 |
| UPMC Community Osteopathic | Harrisburg | $15.60 | $0.20 – $2.82 |
| UPMC Hamot | Erie | $128.40 | $0.96 – $4.11 |
| UPMC Hanover | Hanover | $15.60 | $1.51 – $2.13 |
| UPMC Lititz | Lititz | $15.60 | $1.51 – $2.13 |