healthcosts.net
Alteplase 100 mg infusion from pyxis vial at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$189.60
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.
$20,518.05
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.
$59.63 with UPMC Health Plan vs $213.00 with Aetna — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $59.63 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $81.61 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $85.66 | ↓ -55% |
| Cigna | Commercial | $90.40 | ↓ -52% |
| Aetna | EBR ASO | $90.40 | ↓ -52% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $94.45 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $94.45 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $94.45 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.45 | ↓ -50% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $96.70 | ↓ -49% |
| Aetna | Medicare | $97.28 | ↓ -49% |
| United Healthcare | Unison Advantage Non Special Needs | $99.17 | ↓ -48% |
| Aetna of PA | Medicare | $99.17 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $102.00 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $102.01 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $102.01 | ↓ -46% |
| United Healthcare | Unison Advantage Special Needs | $103.89 | ↓ -45% |
| UPMC Health Plan | Commercial | $116.17 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $126.06 | ↓ -34% |
| Aetna | EBR FI | $131.08 | ↓ -31% |
| Aetna | Neighborhood Network | $135.60 | ↓ -28% |
| Aetna | Home Depot Employer Group | $139.44 | ↓ -26% |
| Aetna | NBR ASO/FI | $142.38 | ↓ -25% |
| Cigna | New Business ASO | $142.38 | ↓ -25% |
| InterGroup | PPO | $146.90 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $155.31 | ↓ -18% |
| Coventry/First Health | Commercial | $158.20 | ↓ -17% |
| Health Coalition Partners | PPO | $162.72 | ↓ -14% |
| Private Health Care Systems | PPO | $180.80 | ↓ -5% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $186.38 | ↓ -2% |
| Humana | Commercial | $192.10 | ↑ +1% |
| United Healthcare Community Plan for Families | Unison Kids | $204.13 | ↑ +8% |
| Aetna | Medicaid | $213.00 | ↑ +12% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Alteplase 100 mg infusion from pyxis vial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $612.00 | $48.57 – $212.40 |
| UPMC Somerset | Somerset | $5,280.00 | $29.63 – $94.45 |
| UPMC St. Margaret | Pittsburgh | $540.80 | $49.03 – $306.85 |
| UPMC Williamsport | Williamsport | $543.20 | $94.45 – $531.90 |
| UPMC Muncy | Muncy | $40,758.00 | $88.65 – $531.90 |
| UPMC Passavant-McCandless | Pittsburgh | $39,117.00 | $49.03 – $255.85 |
| UPMC Wellsboro | Wellsboro | $40,758.00 | $94.45 – $531.90 |