healthcosts.net
Amikacin 4 mg/ml intravitreal injection - cnr at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$11.60
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.
$26.23
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.
$0.40 with UPMC Health Plan vs $11.90 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 | $0.40 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $0.63 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.63 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $0.63 | ↓ -95% |
| UPMC Health Plan | Commercial | $0.78 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $3.18 | ↓ -73% |
| United Healthcare Community Plan for Families | Unison Kids | $3.49 | ↓ -70% |
| Aetna | Medicare | $3.50 | ↓ -70% |
| Aetna | Medicaid | $3.64 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $5.06 | ↓ -56% |
| Aetna | EBR ASO | $5.60 | ↓ -52% |
| Cigna | Commercial | $5.60 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $6.37 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.00 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $7.85 | ↓ -32% |
| Aetna | EBR FI | $8.12 | ↓ -30% |
| Aetna | Neighborhood Network | $8.40 | ↓ -28% |
| Aetna | Home Depot Employer Group | $8.64 | ↓ -26% |
| Aetna | NBR ASO/FI | $8.82 | ↓ -24% |
| Cigna | New Business ASO | $8.82 | ↓ -24% |
| InterGroup | PPO | $9.10 | ↓ -22% |
| Coventry/First Health | Commercial | $9.80 | ↓ -16% |
| Health Coalition Partners | PPO | $10.08 | ↓ -13% |
| Private Health Care Systems | PPO | $11.20 | ↓ -3% |
| Humana | Commercial | $11.90 | ↑ +3% |
Visitor-reported prices
Comments
Amikacin 4 mg/ml intravitreal injection - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $33.40 | $0.40 – $9.90 |
| UPMC Muncy | Muncy | $26.80 | $0.63 – $4.50 |
| UPMC Passavant-McCandless | Pittsburgh | $46.80 | $0.40 – $12.75 |
| UPMC Presbyterian | Pittsburgh | $74.40 | $0.40 – $13.60 |
| UPMC Somerset | Somerset | $3.60 | $0.34 – $2.43 |
| UPMC St. Margaret | Pittsburgh | $27.00 | $0.40 – $13.55 |
| UPMC Wellsboro | Wellsboro | $26.80 | $0.63 – $4.50 |
| UPMC Western Psychiatric | Pittsburgh | $44.55 | $0.63 – $13.60 |