healthcosts.net
Oritavancin 400 mg intravenous solution at UPMC Western Psychiatric
3811 Ohara St, Pittsburgh, PA · UPMC · · NPI 1174962435
$105.60
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.
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What you pay up front if you don't use insurance.
$176.00
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.
$17.14 with Highmark BCBS of PA vs $149.60 with Health Payors Organization — 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 | Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $17.14 | ↓ -84% |
| Geisinger | CHIP | $28.68 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.97 | ↓ -71% |
| Aetna | Medicare | $31.55 | ↓ -70% |
| Aetna | Narrow Network | $52.27 | ↓ -51% |
| Aetna | Fully Insured | $58.08 | ↓ -45% |
| Aetna | Commercial | $61.60 | ↓ -42% |
| Cigna Behavioral Health | Commercial | $105.60 | ↑ +0% |
| Fidelis | Medicare | $132.00 | ↑ +25% |
| Health Payors Organization | Commercial | $149.60 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Oritavancin 400 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $99.20 | $16.20 – $52.24 |
| UPMC Passavant-McCandless | Pittsburgh | $105.60 | $17.49 – $70.55 |
| UPMC Presbyterian | Pittsburgh | $105.60 | $17.49 – $149.60 |
| UPMC St. Margaret | Pittsburgh | not published | $14.63 – $49.34 |
| UPMC Somerset | Somerset | $696.00 | $17.15 – $724.50 |
| UPMC Williamsport | Williamsport | $447.20 | $28.68 – $503.10 |
| UPMC Northwest | Seneca | not published | $18.11 – $49.34 |