healthcosts.net
Cabergoline, oral 0.25mg at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$105.00
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.
$175.00
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.
$1.60 with United Healthcare Community Plan for Families vs $74.80 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $1.60 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $1.76 | ↓ -98% |
| Aetna | Medicaid | $1.83 | ↓ -98% |
| Aetna | Medicare | $22.00 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $31.78 | ↓ -70% |
| Aetna | EBR ASO | $35.20 | ↓ -66% |
| Cigna | Commercial | $35.20 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $44.00 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $48.40 | ↓ -54% |
| Aetna | EBR FI | $51.04 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $52.63 | ↓ -50% |
| Aetna | Neighborhood Network | $52.80 | ↓ -50% |
| Aetna | Home Depot Employer Group | $54.30 | ↓ -48% |
| Aetna | NBR ASO/FI | $55.44 | ↓ -47% |
| Cigna | New Business ASO | $55.44 | ↓ -47% |
| InterGroup | PPO | $57.20 | ↓ -46% |
| Coventry/First Health | Commercial | $61.60 | ↓ -41% |
| Health Coalition Partners | PPO | $63.36 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $64.85 | ↓ -38% |
| UPMC Health Plan | Commercial | $67.12 | ↓ -36% |
| Private Health Care Systems | PPO | $70.40 | ↓ -33% |
| Humana | Commercial | $74.80 | ↓ -29% |
Visitor-reported prices
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Cabergoline, oral 0.25mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $154.80 | $1.76 – $115.20 |
| UPMC Passavant-McCandless | Pittsburgh | $181.80 | $1.60 – $100.30 |
| UPMC Presbyterian | Pittsburgh | $142.20 | $1.53 – $100.30 |
| UPMC St. Margaret | Pittsburgh | $242.40 | $1.68 – $219.30 |
| UPMC Western Psychiatric | Pittsburgh | $70.80 | $29.50 – $100.30 |