healthcosts.net
Inj levocarnitine per 1 gm at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$494.40
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.
$618.00
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.
$8.71 with Aetna vs $203.28 with Highmark BCBS of PA — 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 | $8.71 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $12.58 | ↓ -97% |
| Aetna | EBR ASO | $13.94 | ↓ -97% |
| Cigna | Commercial | $13.94 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $14.91 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.42 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $19.16 | ↓ -96% |
| Aetna | EBR FI | $20.21 | ↓ -96% |
| Aetna | Neighborhood Network | $20.90 | ↓ -96% |
| Aetna | Home Depot Employer Group | $21.50 | ↓ -96% |
| Aetna | NBR ASO/FI | $21.95 | ↓ -96% |
| Cigna | New Business ASO | $21.95 | ↓ -96% |
| InterGroup | PPO | $22.65 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $23.61 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $23.61 | ↓ -95% |
| Coventry/First Health | Commercial | $24.39 | ↓ -95% |
| Health Coalition Partners | PPO | $25.08 | ↓ -95% |
| Private Health Care Systems | PPO | $27.87 | ↓ -94% |
| UPMC Health Plan | Commercial | $29.04 | ↓ -94% |
| Humana | Commercial | $29.61 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $164.99 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $203.28 | ↓ -59% |
Visitor-reported prices
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Inj levocarnitine per 1 gm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $220.00 | $8.71 – $63.57 |
| UPMC Muncy | Muncy | $205.60 | $23.61 – $231.30 |
| UPMC Passavant-McCandless | Pittsburgh | $1,039.80 | $14.91 – $199.75 |
| UPMC Presbyterian | Pittsburgh | $1,039.80 | $14.91 – $1,473.05 |
| UPMC St. Margaret | Pittsburgh | $598.40 | $8.71 – $64.18 |
| UPMC Wellsboro | Wellsboro | $205.60 | $23.61 – $231.30 |
| UPMC Western Psychiatric | Pittsburgh | $1,039.80 | $23.61 – $1,473.05 |
| UPMC Williamsport | Williamsport | $205.60 | $23.61 – $231.30 |