healthcosts.net
Oxaliplatin 5 mg/ml desensitization at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$40.80
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.
$68.00
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.
$0.05 with UPMC Health Plan vs $29.96 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $0.05 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.08 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.08 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $0.08 | ↓ -100% |
| UPMC Health Plan | Commercial | $0.10 | ↓ -100% |
| Aetna | Medicare | $4.08 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $5.90 | ↓ -86% |
| Aetna | EBR ASO | $6.53 | ↓ -84% |
| Cigna | Commercial | $6.53 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.16 | ↓ -80% |
| Aetna | EBR FI | $9.47 | ↓ -77% |
| Aetna | Neighborhood Network | $9.80 | ↓ -76% |
| Aetna | Home Depot Employer Group | $10.08 | ↓ -75% |
| Aetna | NBR ASO/FI | $10.29 | ↓ -75% |
| Cigna | New Business ASO | $10.29 | ↓ -75% |
| InterGroup | PPO | $10.61 | ↓ -74% |
| Coventry/First Health | Commercial | $11.43 | ↓ -72% |
| Health Coalition Partners | PPO | $11.76 | ↓ -71% |
| Private Health Care Systems | PPO | $13.06 | ↓ -68% |
| Humana | Commercial | $13.88 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $24.31 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $29.96 | ↓ -27% |
Visitor-reported prices
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Oxaliplatin 5 mg/ml desensitization at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $59.40 | $0.05 – $17.55 |
| UPMC St. Margaret | Pittsburgh | $58.80 | $0.05 – $17.71 |
| UPMC Western Psychiatric | Pittsburgh | $97.20 | $0.08 – $137.70 |
| UPMC Williamsport | Williamsport | $13.20 | $0.08 – $14.40 |
| UPMC Muncy | Muncy | $1,965.00 | $0.08 – $14.40 |
| UPMC Wellsboro | Wellsboro | $1,965.00 | $0.08 – $14.40 |