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Ziprasidone 20 mg/ml (final concentration) intramuscular solution at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$38.40
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.
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What you pay up front if you don't use insurance.
$64.00
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.
$6.83 with AmeriHealth Caritas vs $39.78 with UPMC Health Plan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.83 | ↓ -82% |
| Geisinger | Medicaid | $6.83 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.83 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $15.82 | ↓ -59% |
| UPMC Health Plan | CHIP | $16.45 | ↓ -57% |
| Geisinger | Commercial | $18.51 | ↓ -52% |
| Aetna of PA | TPA/Carrier | $18.80 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $23.50 | ↓ -39% |
| Multiplan | PPO (Includes PHCS as a Payer) | $23.50 | ↓ -39% |
| Galaxy Health Plan | Commercial | $30.55 | ↓ -20% |
| Humana | Commercial | $35.25 | ↓ -8% |
| Highmark BCBS of PA | Medicare Advantage | $38.25 | ↓ -0% |
| UPMC Health Plan | Commercial | $39.78 | ↑ +4% |
Visitor-reported prices
Comments
Ziprasidone 20 mg/ml (final concentration) intramuscular solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $245.40 | $4.31 – $184.50 |
| UPMC Muncy | Muncy | $229.80 | $6.83 – $172.80 |
| UPMC Northwest | Seneca | $146.40 | $4.31 – $155.55 |
| UPMC Passavant-McCandless | Pittsburgh | $295.80 | $4.31 – $168.30 |
| UPMC Presbyterian | Pittsburgh | $592.20 | $4.31 – $419.05 |
| UPMC St. Margaret | Pittsburgh | $459.60 | $4.31 – $325.55 |
| UPMC Wellsboro | Wellsboro | $229.80 | $6.83 – $172.80 |
| UPMC Western Psychiatric | Pittsburgh | $295.80 | $6.83 – $419.05 |