healthcosts.net
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$49.20
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.
$81.60
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.
$4.39 with UPMC Health Plan vs $51.85 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $4.39 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $6.96 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.96 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $6.96 | ↓ -86% |
| UPMC Health Plan | Commercial | $8.56 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $9.94 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $10.89 | ↓ -78% |
| Aetna | Medicaid | $11.36 | ↓ -77% |
| Aetna | Medicare | $15.25 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $22.03 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $24.03 | ↓ -51% |
| Aetna | EBR ASO | $24.40 | ↓ -50% |
| Cigna | Commercial | $24.40 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $29.60 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.50 | ↓ -38% |
| Aetna | EBR FI | $35.38 | ↓ -28% |
| Aetna | Neighborhood Network | $36.60 | ↓ -26% |
| Aetna | Home Depot Employer Group | $37.64 | ↓ -23% |
| Aetna | NBR ASO/FI | $38.43 | ↓ -22% |
| Cigna | New Business ASO | $38.43 | ↓ -22% |
| InterGroup | PPO | $39.65 | ↓ -19% |
| Coventry/First Health | Commercial | $42.70 | ↓ -13% |
| Health Coalition Partners | PPO | $43.92 | ↓ -11% |
| Private Health Care Systems | PPO | $48.80 | ↓ -1% |
| Humana | Commercial | $51.85 | ↑ +5% |
Visitor-reported prices
Comments
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $43.80 | $4.39 – $48.60 |
| UPMC Muncy | Muncy | $287.40 | $6.96 – $85.50 |
| UPMC Passavant-McCandless | Pittsburgh | $267.00 | $4.39 – $75.65 |
| UPMC Presbyterian | Pittsburgh | $160.80 | $4.39 – $33.15 |
| UPMC St. Margaret | Pittsburgh | $73.20 | $4.39 – $69.36 |
| UPMC Wellsboro | Wellsboro | $287.40 | $2.88 – $14.40 |
| UPMC Western Psychiatric | Pittsburgh | $160.80 | $6.96 – $227.80 |
| UPMC Williamsport | Williamsport | $76.00 | $6.96 – $85.50 |