healthcosts.net
Ceftazidime and avibactam at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
not published by hospital
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.
$896.58
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.
$66.13 with UPMC Health Plan vs $762.09 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 | $66.13 | — |
| UPMC Health Plan | Managed Medicare | $94.98 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $104.73 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $107.22 | — |
| Aetna | Medicare | $107.87 | — |
| Aetna of PA | Medicare | $109.97 | — |
| United Healthcare | Unison Advantage Non Special Needs | $109.97 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $113.10 | — |
| AmeriHealth Caritas | Medicare | $113.11 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $113.11 | — |
| United Healthcare | Unison Advantage Special Needs | $115.20 | — |
| UPMC Health Plan | Commercial | $128.82 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $133.73 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $164.76 | — |
| UPMC Work Partners | Workers Comp | $323.76 | — |
| Aetna | EBR ASO | $358.63 | — |
| Cigna | Commercial | $358.63 | — |
| PA Health & Wellness | PA Medicaid HMO | $493.12 | — |
| Aetna | EBR FI | $520.02 | — |
| Aetna | Neighborhood Network | $537.95 | — |
| Aetna | Home Depot Employer Group | $553.19 | — |
| Aetna | NBR ASO/FI | $564.85 | — |
| Cigna | New Business ASO | $564.85 | — |
| InterGroup | PPO | $582.78 | — |
| Coventry/First Health | Commercial | $627.61 | — |
| Health Coalition Partners | PPO | $645.54 | — |
| Private Health Care Systems | PPO | $717.26 | — |
| Humana | Commercial | $762.09 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ceftazidime and avibactam at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $935.40 | $51.53 – $350.10 |
| UPMC Muncy | Muncy | $1,516.80 | $94.95 – $569.70 |
| UPMC Passavant-McCandless | Pittsburgh | $991.80 | $52.02 – $330.65 |
| UPMC Presbyterian | Pittsburgh | $1,248.60 | $52.02 – $442.00 |
| UPMC Somerset | Somerset | $237.00 | $51.00 – $296.25 |
| UPMC St. Margaret | Pittsburgh | $935.40 | $52.02 – $330.65 |
| UPMC Wellsboro | Wellsboro | $1,516.80 | $104.73 – $569.70 |
| UPMC Western Psychiatric | Pittsburgh | $312.00 | $50.97 – $442.00 |