Inj, etelcalcetide, 0.1 mg at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
not published by hospital
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.
$355.80
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.
$6.13 with Highmark BCBS of PA vs $151.22 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $6.13 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $7.55 | — |
| Aetna | Medicare | $44.48 | — |
| UPMC Work Partners | Workers Comp | $64.24 | — |
| Cigna | Commercial | $71.16 | — |
| Aetna | EBR ASO | $71.16 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $88.95 | — |
| PA Health & Wellness | PA Medicaid HMO | $97.84 | — |
| Aetna | EBR FI | $103.18 | — |
| Aetna | Neighborhood Network | $106.74 | — |
| Aetna | Home Depot Employer Group | $109.76 | — |
| Cigna | New Business ASO | $112.08 | — |
| Aetna | NBR ASO/FI | $112.08 | — |
| InterGroup | PPO | $115.64 | — |
| Coventry/First Health | Commercial | $124.53 | — |
| Health Coalition Partners | PPO | $128.09 | — |
| UPMC Health Plan | Commercial | $135.68 | — |
| Private Health Care Systems | PPO | $142.32 | — |
| Humana | Commercial | $151.22 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Inj, etelcalcetide, 0.1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $418.20 | $2.38 – $4.20 |
| UPMC Presbyterian | Pittsburgh | $628.20 | $2.38 – $2.38 |
| UPMC Mercy | Pittsburgh | not published | $2.36 – $2.36 |
| UPMC St. Margaret | Pittsburgh | not published | $2.38 – $2.38 |