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Levothyroxine 100 mcg intravenous powder for solution at UPMC Northwest

100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$19.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$33.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.34 with UPMC Health Plan vs $28.05 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 →

Payer
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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
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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 $4.34 ↓ -78%
Geisinger Medicaid/CHIP $6.87 ↓ -65%
Highmark Wholecare (prev Gateway) Medicaid $6.87 ↓ -65%
PA Health & Wellness PA Medicaid HMO $6.87 ↓ -65%
Aetna Medicare $8.25 ↓ -58%
UPMC Health Plan Commercial $8.45 ↓ -57%
Highmark BCBS of PA Commercial - Social Mission Indemnity/Managed Care - Social Mission $11.00 ↓ -44%
UPMC Work Partners Workers Comp $11.92 ↓ -40%
Aetna EBR ASO $13.20 ↓ -33%
Cigna Commercial $13.20 ↓ -33%
Highmark BCBS of PA Commercial - Indemnity/Managed Care $13.55 ↓ -32%
Highmark Wholecare (prev Gateway) Medicare $16.50 ↓ -17%
Aetna EBR FI $19.14 ↓ -3%
Aetna Neighborhood Network $19.80 ↑ +0%
Aetna Home Depot Employer Group $20.36 ↑ +3%
Aetna NBR ASO/FI $20.79 ↑ +5%
Cigna New Business ASO $20.79 ↑ +5%
InterGroup PPO $21.45 ↑ +8%
Coventry/First Health Commercial $23.10 ↑ +17%
Health Coalition Partners PPO $23.76 ↑ +20%
Private Health Care Systems PPO $26.40 ↑ +33%
Humana Commercial $28.05 ↑ +42%

Visitor-reported prices

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Levothyroxine 100 mcg intravenous powder for solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $21.00 $4.24 – $31.50
UPMC Passavant-McCandless Pittsburgh $19.80 $4.34 – $28.05
UPMC Presbyterian Pittsburgh $24.00 $4.28 – $29.75
UPMC St. Margaret Pittsburgh $19.80 $4.34 – $28.05
UPMC Williamsport Williamsport $24.60 $6.87 – $27.00

All Pennsylvania hospitals for this procedure →