healthcosts.net
Albumin (human), 5%, 250 ml at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$717.60
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.
?
What you pay up front if you don't use insurance.
$897.00
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.
$33.51 with UPMC Health Plan vs $762.45 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $33.51 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $48.14 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $53.08 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $53.08 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.08 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $53.08 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $54.34 | ↓ -92% |
| Aetna | Medicare | $54.67 | ↓ -92% |
| Aetna of PA | Medicare | $55.73 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $55.73 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $57.32 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $57.33 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $57.33 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $58.39 | ↓ -92% |
| UPMC Health Plan | Commercial | $65.28 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $323.91 | ↓ -55% |
| Aetna | EBR ASO | $358.80 | ↓ -50% |
| Cigna | Commercial | $358.80 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $401.04 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $494.12 | ↓ -31% |
| Aetna | EBR FI | $520.26 | ↓ -28% |
| Aetna | Neighborhood Network | $538.20 | ↓ -25% |
| Aetna | Home Depot Employer Group | $553.45 | ↓ -23% |
| Aetna | NBR ASO/FI | $565.11 | ↓ -21% |
| Cigna | New Business ASO | $565.11 | ↓ -21% |
| InterGroup | PPO | $583.05 | ↓ -19% |
| Coventry/First Health | Commercial | $627.90 | ↓ -13% |
| Health Coalition Partners | PPO | $645.84 | ↓ -10% |
| Private Health Care Systems | PPO | $717.60 | ↑ +0% |
| Humana | Commercial | $762.45 | ↑ +6% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $466.40 | $33.51 – $524.70 |
| UPMC Muncy | Muncy | $682.40 | $53.08 – $359.10 |
| UPMC Passavant-McCandless | Pittsburgh | $810.00 | $33.51 – $814.30 |
| UPMC Presbyterian | Pittsburgh | $609.00 | $33.51 – $768.40 |
| UPMC St. Margaret | Pittsburgh | $749.60 | $33.51 – $796.45 |
| UPMC Wellsboro | Wellsboro | $682.40 | $53.08 – $359.10 |
| UPMC Western Psychiatric | Pittsburgh | $609.00 | $53.08 – $814.30 |
| UPMC Williamsport | Williamsport | $682.40 | $53.08 – $359.10 |