Streptozocin injection 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.
$783.53
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.
$195.88 with Aetna vs $666.00 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 |
|---|---|---|---|
| Aetna | Medicare | $195.88 | — |
| UPMC Work Partners | Workers Comp | $282.93 | — |
| Cigna | Commercial | $313.41 | — |
| Aetna | EBR ASO | $313.41 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $391.76 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $414.60 | — |
| PA Health & Wellness | PA Medicaid HMO | $430.94 | — |
| Aetna | EBR FI | $454.45 | — |
| Aetna | Neighborhood Network | $470.12 | — |
| Aetna | Home Depot Employer Group | $483.44 | — |
| Cigna | New Business ASO | $493.62 | — |
| Aetna | NBR ASO/FI | $493.62 | — |
| InterGroup | PPO | $509.29 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $510.82 | — |
| Coventry/First Health | Commercial | $548.47 | — |
| Health Coalition Partners | PPO | $564.14 | — |
| UPMC Health Plan | Commercial | $597.60 | — |
| Private Health Care Systems | PPO | $626.82 | — |
| Humana | Commercial | $666.00 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Streptozocin injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $209.40 | $47.81 – $502.27 |
| UPMC Community Osteopathic | Harrisburg | $209.40 | $69.80 – $296.65 |
| UPMC Hamot | Erie | $1,356.60 | $132.46 – $1,007.82 |
| UPMC Hanover | Hanover | $209.40 | $502.27 – $2,599.60 |
| UPMC Lititz | Lititz | $209.40 | $502.27 – $2,599.60 |
| UPMC Magee | Pittsburgh | $995.40 | $133.72 – $411.28 |
| UPMC Memorial | York | $209.40 | $107.96 – $2,599.60 |
| UPMC Passavant-McCandless | Pittsburgh | $1,416.00 | $133.72 – $133.72 |