healthcosts.net
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$68.00
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.
$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.
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The hospital's undiscounted list price — almost no one pays this.
$18.18 with UPMC Work Partners vs $2,171.03 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 Work Partners | Workers Comp | $18.18 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $18.55 | ↓ -73% |
| Cigna | Commercial | $20.14 | ↓ -70% |
| Aetna | EBR ASO | $20.14 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $26.64 | ↓ -61% |
| Aetna | EBR FI | $29.20 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $29.38 | ↓ -57% |
| PA Health & Wellness | PA Medicaid HMO | $29.38 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $29.38 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.38 | ↓ -57% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $30.08 | ↓ -56% |
| Aetna | Neighborhood Network | $30.20 | ↓ -56% |
| Aetna | Medicare | $30.26 | ↓ -56% |
| United Healthcare | Unison Advantage Non Special Needs | $30.85 | ↓ -55% |
| Aetna of PA | Medicare | $30.85 | ↓ -55% |
| Aetna | Home Depot Employer Group | $31.06 | ↓ -54% |
| Aetna | NBR ASO/FI | $31.71 | ↓ -53% |
| Cigna | New Business ASO | $31.71 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $31.73 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.73 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.73 | ↓ -53% |
| United Healthcare | Unison Advantage Special Needs | $32.32 | ↓ -52% |
| InterGroup | PPO | $32.72 | ↓ -52% |
| Coventry/First Health | Commercial | $35.24 | ↓ -48% |
| UPMC Health Plan | Commercial | $36.14 | ↓ -47% |
| Health Coalition Partners | PPO | $36.24 | ↓ -47% |
| Private Health Care Systems | PPO | $40.27 | ↓ -41% |
| Humana | Commercial | $42.79 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $51.81 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $63.84 | ↓ -6% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $1,899.65 | ↑ +2694% |
| United Healthcare Community Plan for Families | Unison Kids | $2,080.57 | ↑ +2960% |
| Aetna | Medicaid | $2,171.03 | ↑ +3093% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,433.80 | $14.04 – $2,080.57 |
| UPMC Muncy | Muncy | $10,269.00 | $21.60 – $129.60 |
| UPMC Passavant-McCandless | Pittsburgh | $6,370.80 | $18.55 – $1,899.65 |
| UPMC Presbyterian | Pittsburgh | $7,408.20 | $18.55 – $1,809.19 |
| UPMC Somerset | Somerset | $1,127.40 | $19.76 – $1,179.75 |
| UPMC Wellsboro | Wellsboro | $10,269.00 | $25.92 – $1,809.19 |
| UPMC Williamsport | Williamsport | $10,269.00 | $6.78 – $29.38 |