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Calcitonin (salmon) 200 unit/ml injection solution at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$9,437.60
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.
$11,797.00
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.
$215.02 with Highmark BCBS of PA vs $10,027.45 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $215.02 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $264.92 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $439.82 | ↓ -95% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $484.97 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $496.51 | ↓ -95% |
| Aetna | Medicare | $499.52 | ↓ -95% |
| Aetna of PA | Medicare | $509.22 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $509.22 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $523.72 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $523.77 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $523.77 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $533.47 | ↓ -94% |
| InterGroup | PPO | $3,704.00 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $4,259.90 | ↓ -55% |
| Aetna | EBR ASO | $4,718.80 | ↓ -50% |
| Cigna | Commercial | $4,718.80 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $6,488.35 | ↓ -31% |
| Aetna | EBR FI | $6,842.26 | ↓ -28% |
| Aetna | Neighborhood Network | $7,078.20 | ↓ -25% |
| Aetna | Home Depot Employer Group | $7,278.75 | ↓ -23% |
| Aetna | NBR ASO/FI | $7,432.11 | ↓ -21% |
| Cigna | New Business ASO | $7,432.11 | ↓ -21% |
| Coventry/First Health | Commercial | $8,257.90 | ↓ -13% |
| Health Coalition Partners | PPO | $8,493.84 | ↓ -10% |
| UPMC Health Plan | Commercial | $8,997.57 | ↓ -5% |
| Private Health Care Systems | PPO | $9,437.60 | ↑ +0% |
| Humana | Commercial | $10,027.45 | ↑ +6% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Calcitonin (salmon) 200 unit/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $9,437.60 | $82.85 – $10,617.30 |
| UPMC Muncy | Muncy | $20,030.40 | $484.97 – $22,534.20 |
| UPMC Passavant-McCandless | Pittsburgh | $9,436.20 | $83.64 – $901.85 |
| UPMC Presbyterian | Pittsburgh | $9,436.20 | $83.64 – $13,367.95 |
| UPMC Somerset | Somerset | $939.60 | $82.01 – $529.50 |
| UPMC St. Margaret | Pittsburgh | $9,437.60 | $83.64 – $10,027.45 |
| UPMC Wellsboro | Wellsboro | $20,030.40 | $484.97 – $22,534.20 |
| UPMC Western Psychiatric | Pittsburgh | $9,436.20 | $81.96 – $13,367.95 |