Azithromycin dihydrate, oral at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$225.60
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.
$282.00
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.
$70.50 with Aetna vs $239.70 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 |
|---|---|---|---|
| Aetna | Medicare | $70.50 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $101.83 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $102.23 | ↓ -55% |
| UPMC Health Plan | Commercial | $106.32 | ↓ -53% |
| Aetna | EBR ASO | $112.80 | ↓ -50% |
| Cigna | Commercial | $112.80 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $125.95 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $141.00 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $155.10 | ↓ -31% |
| Aetna | EBR FI | $163.56 | ↓ -28% |
| Aetna | Neighborhood Network | $169.20 | ↓ -25% |
| Aetna | Home Depot Employer Group | $173.99 | ↓ -23% |
| Cigna | New Business ASO | $177.66 | ↓ -21% |
| Aetna | NBR ASO/FI | $177.66 | ↓ -21% |
| InterGroup | PPO | $183.30 | ↓ -19% |
| Coventry/First Health | Commercial | $197.40 | ↓ -13% |
| Health Coalition Partners | PPO | $203.04 | ↓ -10% |
| Private Health Care Systems | PPO | $225.60 | ↑ +0% |
| Humana | Commercial | $239.70 | ↑ +6% |
Visitor-reported prices
Comments
Azithromycin dihydrate, oral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $76.40 | $5.58 – $87.86 |
| UPMC Bedford | Everett | $334.40 | $0.22 – $129.60 |
| UPMC East | Monroeville | $235.20 | $12.62 – $128.80 |
| UPMC Hamot | Erie | $150.40 | $0.22 – $34.77 |
| UPMC Horizon-Greenville | Greenville | $150.40 | $0.22 – $100.38 |
| UPMC Jameson | New Castle | $101.60 | $8.62 – $87.86 |
| UPMC Kane | Kane | $85.20 | $20.82 – $64.70 |
| UPMC Magee | Pittsburgh | $202.80 | $0.24 – $87.86 |