healthcosts.net
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$175.20
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.
$3,052.88
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.
$28.16 with UPMC Health Plan vs $164.05 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $28.16 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $40.45 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $44.60 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $44.60 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.60 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $44.60 | ↓ -75% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $45.66 | ↓ -74% |
| Aetna | Medicare | $45.94 | ↓ -74% |
| Aetna of PA | Medicare | $46.83 | ↓ -73% |
| United Healthcare | Unison Advantage Non Special Needs | $46.83 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $48.16 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $48.17 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $48.17 | ↓ -73% |
| United Healthcare | Unison Advantage Special Needs | $49.06 | ↓ -72% |
| UPMC Health Plan | Commercial | $54.85 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $69.69 | ↓ -60% |
| Aetna | EBR ASO | $77.20 | ↓ -56% |
| Cigna | Commercial | $77.20 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $86.79 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $106.93 | ↓ -39% |
| Aetna | EBR FI | $111.94 | ↓ -36% |
| Aetna | Neighborhood Network | $115.80 | ↓ -34% |
| Aetna | Home Depot Employer Group | $119.08 | ↓ -32% |
| Aetna | NBR ASO/FI | $121.59 | ↓ -31% |
| Cigna | New Business ASO | $121.59 | ↓ -31% |
| InterGroup | PPO | $125.45 | ↓ -28% |
| Coventry/First Health | Commercial | $135.10 | ↓ -23% |
| Health Coalition Partners | PPO | $138.96 | ↓ -21% |
| Private Health Care Systems | PPO | $154.40 | ↓ -12% |
| Humana | Commercial | $164.05 | ↓ -6% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $175.20 | $28.16 – $145.80 |
| UPMC Presbyterian | Pittsburgh | $131.40 | $28.16 – $150.45 |
| UPMC Somerset | Somerset | $830.40 | $33.10 – $1,038.00 |
| UPMC St. Margaret | Pittsburgh | $333.60 | $28.16 – $186.15 |
| UPMC Western Psychiatric | Pittsburgh | $131.40 | $33.08 – $150.45 |
| UPMC Passavant-McCandless | Pittsburgh | $6,151.20 | $28.16 – $150.45 |