healthcosts.net
Pertuzumab 30 mg/ml desensitization at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$30.00
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.
$15,841.70
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.
$10.74 with UPMC Health Plan vs $40.80 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 →
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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 | $10.74 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $15.44 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $17.02 | ↓ -43% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $17.02 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.02 | ↓ -43% |
| PA Health & Wellness | PA Medicaid HMO | $17.02 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $17.33 | ↓ -42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17.43 | ↓ -42% |
| Aetna | Medicare | $17.53 | ↓ -42% |
| Aetna of PA | Medicare | $17.87 | ↓ -40% |
| United Healthcare | Unison Advantage Non Special Needs | $17.87 | ↓ -40% |
| AmeriHealth Caritas | Medicare | $18.38 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.38 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.38 | ↓ -39% |
| United Healthcare | Unison Advantage Special Needs | $18.72 | ↓ -38% |
| Aetna | EBR ASO | $19.20 | ↓ -36% |
| Cigna | Commercial | $19.20 | ↓ -36% |
| UPMC Health Plan | Commercial | $20.93 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $21.18 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $26.09 | ↓ -13% |
| Aetna | EBR FI | $27.84 | ↓ -7% |
| Aetna | Neighborhood Network | $28.80 | ↓ -4% |
| Aetna | Home Depot Employer Group | $29.62 | ↓ -1% |
| Aetna | NBR ASO/FI | $30.24 | ↑ +1% |
| Cigna | New Business ASO | $30.24 | ↑ +1% |
| InterGroup | PPO | $31.20 | ↑ +4% |
| Coventry/First Health | Commercial | $33.60 | ↑ +12% |
| Health Coalition Partners | PPO | $34.56 | ↑ +15% |
| Private Health Care Systems | PPO | $38.40 | ↑ +28% |
| Humana | Commercial | $40.80 | ↑ +36% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pertuzumab 30 mg/ml desensitization at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $22,539.60 | $13.35 – $80.10 |
| UPMC Presbyterian | Pittsburgh | $18,274.80 | $8.24 – $62.05 |
| UPMC Wellsboro | Wellsboro | $22,539.60 | $16.02 – $80.10 |