Revefenacin inh non-com 1mcg at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$7.80
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.
$9.75
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.
$0.12 with UPMC Health Plan vs $19.92 with Aetna — 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 | $0.12 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $0.19 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $0.19 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.19 | ↓ -98% |
| UPMC Health Plan | Commercial | $0.23 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $0.34 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.42 | ↓ -95% |
| Aetna | Medicare | $2.25 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $3.25 | ↓ -58% |
| Aetna | EBR ASO | $3.60 | ↓ -54% |
| Cigna | Commercial | $3.60 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.50 | ↓ -42% |
| Aetna | EBR FI | $5.22 | ↓ -33% |
| Aetna | Neighborhood Network | $5.40 | ↓ -31% |
| Aetna | Home Depot Employer Group | $5.55 | ↓ -29% |
| Cigna | New Business ASO | $5.67 | ↓ -27% |
| Aetna | NBR ASO/FI | $5.67 | ↓ -27% |
| InterGroup | PPO | $5.85 | ↓ -25% |
| Coventry/First Health | Commercial | $6.30 | ↓ -19% |
| Health Coalition Partners | PPO | $6.48 | ↓ -17% |
| Private Health Care Systems | PPO | $7.20 | ↓ -8% |
| Humana | Commercial | $7.65 | ↓ -2% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $17.43 | ↑ +123% |
| United Healthcare Community Plan for Families | Unison Kids | $19.09 | ↑ +145% |
| Aetna | Medicaid | $19.92 | ↑ +155% |
Visitor-reported prices
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Revefenacin inh non-com 1mcg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7.20 | $0.12 – $16.60 |
| UPMC Bedford | Everett | $7.80 | $0.12 – $16.60 |
| UPMC East | Monroeville | $7.80 | $0.12 – $17.43 |
| UPMC Hamot | Erie | $7.80 | $0.12 – $19.92 |
| UPMC Horizon-Greenville | Greenville | $7.80 | $0.12 – $18.26 |
| UPMC Jameson | New Castle | $7.80 | $0.12 – $0.19 |
| UPMC McKeesport | Mckeesport | $7.80 | $0.12 – $18.26 |
| UPMC Mercy | Pittsburgh | $7.80 | $0.12 – $19.09 |