healthcosts.net
Decitabine 50 mg intravenous solution at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$184.80
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.
$231.00
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.
$0.77 with UPMC Health Plan vs $191.87 with Humana — 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 | $0.77 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $1.22 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.22 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $1.22 | ↓ -99% |
| UPMC Health Plan | Commercial | $1.50 | ↓ -99% |
| Aetna | Medicare | $56.43 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $81.51 | ↓ -56% |
| Aetna | EBR ASO | $90.29 | ↓ -51% |
| Cigna | Commercial | $90.29 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $92.05 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $112.86 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $113.41 | ↓ -39% |
| Aetna | EBR FI | $130.92 | ↓ -29% |
| Aetna | Neighborhood Network | $135.44 | ↓ -27% |
| Aetna | Home Depot Employer Group | $139.28 | ↓ -25% |
| Aetna | NBR ASO/FI | $142.21 | ↓ -23% |
| Cigna | New Business ASO | $142.21 | ↓ -23% |
| InterGroup | PPO | $146.72 | ↓ -21% |
| Coventry/First Health | Commercial | $158.01 | ↓ -14% |
| Health Coalition Partners | PPO | $162.53 | ↓ -12% |
| Private Health Care Systems | PPO | $180.58 | ↓ -2% |
| Humana | Commercial | $191.87 | ↑ +4% |
Visitor-reported prices
Comments
Decitabine 50 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $82.80 | $0.77 – $124.20 |
| UPMC Passavant-McCandless | Pittsburgh | $292.80 | $0.77 – $219.30 |
| UPMC Somerset | Somerset | $1,026.60 | $1.22 – $75.00 |
| UPMC St. Margaret | Pittsburgh | $396.00 | $0.77 – $191.87 |
| UPMC Western Psychiatric | Pittsburgh | $292.80 | $1.22 – $414.80 |
| UPMC Williamsport | Williamsport | $141.60 | $1.22 – $159.30 |