Inj., brexanolone, 1 mg at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$171.00
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.
$285.00
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.
$71.25 with Aetna vs $242.25 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 |
|---|---|---|---|
| Aetna | Medicare | $71.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $102.91 | ↓ -40% |
| Cigna | Commercial | $114.00 | ↓ -33% |
| Aetna | EBR ASO | $114.00 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $142.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $156.75 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $164.56 | ↓ -4% |
| Aetna | EBR FI | $165.30 | ↓ -3% |
| Aetna | Neighborhood Network | $171.00 | ↑ +0% |
| Aetna | Home Depot Employer Group | $175.84 | ↑ +3% |
| Cigna | New Business ASO | $179.55 | ↑ +5% |
| Aetna | NBR ASO/FI | $179.55 | ↑ +5% |
| InterGroup | PPO | $185.25 | ↑ +8% |
| Coventry/First Health | Commercial | $199.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $202.75 | ↑ +19% |
| Health Coalition Partners | PPO | $205.20 | ↑ +20% |
| UPMC Health Plan | Commercial | $217.37 | ↑ +27% |
| Private Health Care Systems | PPO | $228.00 | ↑ +33% |
| Humana | Commercial | $242.25 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Inj., brexanolone, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $172.20 | $63.40 – $268.20 |
| UPMC East | Monroeville | $178.80 | $35.64 – $238.40 |
| UPMC Hamot | Erie | $187.80 | $63.40 – $196.30 |
| UPMC Horizon-Greenville | Greenville | $180.60 | $89.40 – $161.59 |
| UPMC Jameson | New Castle | $180.60 | $64.52 – $75.99 |
| UPMC St. Margaret | Pittsburgh | $171.00 | $64.01 – $64.01 |
| UPMC Williamsport | Williamsport | $172.80 | not published |