healthcosts.net
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr at UPMC Western Psychiatric
3811 Ohara St, Pittsburgh, PA · UPMC · · NPI 1174962435
$11.40
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.
$19.00
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.
$0.09 with Geisinger vs $15.30 with Health Payors Organization — 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 |
|---|---|---|---|
| Geisinger | CHIP | $0.09 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1.84 | ↓ -84% |
| Aetna | Medicare | $4.50 | ↓ -61% |
| Aetna | Narrow Network | $5.35 | ↓ -53% |
| Aetna | Fully Insured | $5.94 | ↓ -48% |
| Aetna | Commercial | $6.30 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $9.00 | ↓ -21% |
| Cigna Behavioral Health | Commercial | $10.80 | ↓ -5% |
| Fidelis | Medicare | $13.50 | ↑ +18% |
| Health Payors Organization | Commercial | $15.30 | ↑ +34% |
Visitor-reported prices
Comments
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4.00 | $0.06 – $4.50 |
| UPMC St. Margaret | Pittsburgh | $8.20 | $0.06 – $1.88 |
| UPMC Muncy | Muncy | $6.60 | $0.09 – $0.90 |
| UPMC Northwest | Seneca | $7.60 | $0.06 – $5.10 |
| UPMC Somerset | Somerset | $4.20 | $0.09 – $1.84 |
| UPMC Wellsboro | Wellsboro | $6.60 | $0.09 – $0.90 |
| UPMC Williamsport | Williamsport | $1.80 | $0.09 – $0.90 |