healthcosts.net
Palivizumab 50 mg/0.5 ml inj 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.
$6,571.58
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.
$11.00 with UPMC Health Plan vs $8,481.67 with UPMC Health Plan — 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 | $11.00 | — |
| United Healthcare Community Plan for Families | Unison Kids | $11.50 | — |
| Aetna | Medicaid | $12.00 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | — |
| PA Health & Wellness | PA Medicaid HMO | $17.04 | — |
| UPMC Health Plan | Managed Medicare | $652.85 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $719.87 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $737.00 | — |
| Aetna | Medicare | $741.47 | — |
| United Healthcare | Unison Advantage Non Special Needs | $755.86 | — |
| Aetna of PA | Medicare | $755.86 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $777.39 | — |
| AmeriHealth Caritas | Medicare | $777.46 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $777.46 | — |
| United Healthcare | Unison Advantage Special Needs | $791.86 | — |
| UPMC Work Partners | Workers Comp | $1,256.69 | — |
| Cigna | Commercial | $1,392.07 | — |
| Aetna | EBR ASO | $1,392.07 | — |
| Aetna | EBR FI | $2,018.50 | — |
| Aetna | Neighborhood Network | $2,088.11 | — |
| Aetna | Home Depot Employer Group | $2,147.27 | — |
| Aetna | NBR ASO/FI | $2,192.51 | — |
| Cigna | New Business ASO | $2,192.51 | — |
| InterGroup | PPO | $2,262.12 | — |
| Coventry/First Health | Commercial | $2,436.13 | — |
| Health Coalition Partners | PPO | $2,505.73 | — |
| Private Health Care Systems | PPO | $2,784.14 | — |
| Humana | Commercial | $2,958.15 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $5,871.17 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $7,233.73 | — |
| UPMC Health Plan | Commercial | $8,481.67 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Palivizumab 50 mg/0.5 ml inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $6,940.20 | $11.00 – $10,410.30 |
| UPMC Wellsboro | Wellsboro | $6,940.20 | $11.00 – $10,410.30 |
| UPMC Mercy | Pittsburgh | not published | $11.00 – $3,132.16 |
| UPMC St. Margaret | Pittsburgh | not published | $11.00 – $2,958.15 |