healthcosts.net
Sumatriptan 6 mg/0.5 ml subcutaneous solution at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$476.80
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.
$596.00
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.
$2.97 with Aetna vs $292.20 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 |
|---|---|---|---|
| Aetna | Medicare | $2.97 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $4.29 | ↓ -99% |
| Aetna | EBR ASO | $4.75 | ↓ -99% |
| Cigna | Commercial | $4.75 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.94 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $6.53 | ↓ -99% |
| Aetna | EBR FI | $6.89 | ↓ -99% |
| Aetna | Neighborhood Network | $7.13 | ↓ -99% |
| Aetna | Home Depot Employer Group | $7.33 | ↓ -98% |
| Aetna | NBR ASO/FI | $7.48 | ↓ -98% |
| Cigna | New Business ASO | $7.48 | ↓ -98% |
| InterGroup | PPO | $7.72 | ↓ -98% |
| Coventry/First Health | Commercial | $8.32 | ↓ -98% |
| Health Coalition Partners | PPO | $8.55 | ↓ -98% |
| Private Health Care Systems | PPO | $9.50 | ↓ -98% |
| Humana | Commercial | $10.10 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $14.60 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $15.99 | ↓ -97% |
| Aetna | Medicaid | $16.68 | ↓ -97% |
| UPMC Health Plan | Commercial | $194.62 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $237.16 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $292.20 | ↓ -39% |
Visitor-reported prices
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Sumatriptan 6 mg/0.5 ml subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $321.60 | $2.97 – $127.00 |
| UPMC Muncy | Muncy | $148.00 | $27.75 – $166.50 |
| UPMC Passavant-McCandless | Pittsburgh | $1,520.40 | $73.05 – $1,552.10 |
| UPMC Presbyterian | Pittsburgh | $1,520.40 | $69.57 – $2,153.90 |
| UPMC Somerset | Somerset | $105.60 | $59.26 – $132.00 |
| UPMC St. Margaret | Pittsburgh | $874.40 | $2.97 – $197.35 |
| UPMC Wellsboro | Wellsboro | $148.00 | $33.30 – $166.50 |
| UPMC Western Psychiatric | Pittsburgh | $1,520.40 | $90.40 – $2,153.90 |