healthcosts.net
Dalbavancin 500 mg intravenous solution at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$64.40
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.
$85.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.86 with UPMC Health Plan vs $37.98 with Highmark BCBS of PA — 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 | $9.86 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $13.70 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $14.16 | ↓ -78% |
| Aetna | EBR ASO | $15.18 | ↓ -76% |
| Cigna | Commercial | $15.18 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $15.61 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $15.61 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $15.61 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $15.61 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $15.98 | ↓ -75% |
| Aetna | Medicare | $16.08 | ↓ -75% |
| Aetna of PA | Medicare | $16.39 | ↓ -75% |
| United Healthcare | Unison Advantage Non Special Needs | $16.39 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $16.86 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.86 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.86 | ↓ -74% |
| United Healthcare | Unison Advantage Special Needs | $17.17 | ↓ -73% |
| UPMC Health Plan | Commercial | $19.20 | ↓ -70% |
| Aetna | EBR FI | $22.01 | ↓ -66% |
| Aetna | Neighborhood Network | $22.76 | ↓ -65% |
| Aetna | Home Depot Employer Group | $23.41 | ↓ -64% |
| Aetna | NBR ASO/FI | $23.90 | ↓ -63% |
| Cigna | New Business ASO | $23.90 | ↓ -63% |
| InterGroup | PPO | $24.66 | ↓ -62% |
| Coventry/First Health | Commercial | $26.56 | ↓ -59% |
| Health Coalition Partners | PPO | $27.32 | ↓ -58% |
| Private Health Care Systems | PPO | $30.35 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $30.83 | ↓ -52% |
| Humana | Commercial | $32.25 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $37.98 | ↓ -41% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Dalbavancin 500 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $7,113.00 | $15.61 – $106.20 |
| UPMC Presbyterian | Pittsburgh | $6,856.20 | $9.86 – $96.90 |
| UPMC Somerset | Somerset | $1,067.40 | $11.76 – $1,334.25 |
| UPMC Wellsboro | Wellsboro | $7,113.00 | $15.61 – $106.20 |
| UPMC Williamsport | Williamsport | $7,113.00 | $15.61 – $106.20 |