Mercaptopurine 50 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.
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What you pay up front if you don't use insurance.
$2.54
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.
$0.64 with Aetna vs $13.37 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 | $0.64 | — |
| UPMC Work Partners | Workers Comp | $0.92 | — |
| Aetna | EBR ASO | $1.02 | — |
| Cigna | Commercial | $1.02 | — |
| United Healthcare Community Plan for Families | Unison MedPLUS | $1.22 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $1.27 | — |
| United Healthcare Community Plan for Families | Unison Kids | $1.33 | — |
| Aetna | Medicaid | $1.39 | — |
| PA Health & Wellness | PA Medicaid HMO | $1.40 | — |
| Aetna | EBR FI | $1.47 | — |
| Aetna | Neighborhood Network | $1.52 | — |
| Aetna | Home Depot Employer Group | $1.57 | — |
| Cigna | New Business ASO | $1.60 | — |
| Aetna | NBR ASO/FI | $1.60 | — |
| InterGroup | PPO | $1.65 | — |
| Coventry/First Health | Commercial | $1.78 | — |
| Health Coalition Partners | PPO | $1.83 | — |
| UPMC Health Plan | Commercial | $1.94 | — |
| Private Health Care Systems | PPO | $2.03 | — |
| Humana | Commercial | $2.16 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $10.85 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $13.37 | — |
Visitor-reported prices
Comments
Mercaptopurine 50 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $95.20 | $6.34 – $95.20 |
| UPMC Hamot | Erie | $93.60 | $3.25 – $3.25 |
| UPMC Magee | Pittsburgh | $149.40 | $3.38 – $6.34 |
| UPMC Mercy | Pittsburgh | $6.40 | $1.33 – $6.28 |
| UPMC Passavant-McCandless | Pittsburgh | $149.40 | $6.34 – $6.34 |
| UPMC Presbyterian | Pittsburgh | $149.40 | $6.34 – $6.34 |
| UPMC St. Margaret | Pittsburgh | $80.00 | $1.27 – $6.34 |
| UPMC Western Psychiatric | Pittsburgh | $149.40 | $6.22 – $6.22 |