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Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$32.20
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.
$4,868.28
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.
$1.85 with UPMC Health Plan vs $535.58 with Aetna — 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 | $1.85 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $2.66 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2.93 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $2.93 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $2.93 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.93 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3.00 | ↓ -91% |
| Aetna | Medicare | $3.02 | ↓ -91% |
| United Healthcare | Unison Advantage Non Special Needs | $3.08 | ↓ -90% |
| Aetna of PA | Medicare | $3.08 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $3.16 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $3.16 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3.16 | ↓ -90% |
| United Healthcare | Unison Advantage Special Needs | $3.22 | ↓ -90% |
| UPMC Health Plan | Commercial | $3.60 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $7.58 | ↓ -76% |
| Cigna | Commercial | $8.40 | ↓ -74% |
| Aetna | EBR ASO | $8.40 | ↓ -74% |
| Aetna | EBR FI | $12.18 | ↓ -62% |
| Aetna | Neighborhood Network | $12.60 | ↓ -61% |
| Aetna | Home Depot Employer Group | $12.96 | ↓ -60% |
| Aetna | NBR ASO/FI | $13.23 | ↓ -59% |
| Cigna | New Business ASO | $13.23 | ↓ -59% |
| InterGroup | PPO | $13.65 | ↓ -58% |
| Coventry/First Health | Commercial | $14.70 | ↓ -54% |
| Health Coalition Partners | PPO | $15.12 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $16.69 | ↓ -48% |
| Private Health Care Systems | PPO | $16.80 | ↓ -48% |
| Humana | Commercial | $17.85 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $20.57 | ↓ -36% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $468.63 | ↑ +1355% |
| United Healthcare Community Plan for Families | Unison Kids | $513.27 | ↑ +1494% |
| Aetna | Medicaid | $535.58 | ↑ +1563% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $17,923.80 | $2.93 – $53.10 |
| UPMC Passavant-McCandless | Pittsburgh | $9,910.20 | $1.85 – $468.63 |
| UPMC Presbyterian | Pittsburgh | $7,828.80 | $1.85 – $446.32 |
| UPMC Somerset | Somerset | $2,322.00 | $2.90 – $144.75 |
| UPMC Wellsboro | Wellsboro | $17,923.80 | $2.93 – $53.10 |
| UPMC Williamsport | Williamsport | $5,376.60 | $2.93 – $53.10 |