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Thyrotropin alfa 0.9 mg intramuscular solution 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.
$4,581.80
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.
$1,178.91 with Highmark BCBS of PA vs $3,894.53 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,178.91 | — |
| UPMC Health Plan | Managed Medicaid | $1,336.25 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,452.51 | — |
| UPMC Work Partners | Workers Comp | $1,654.49 | — |
| Aetna | EBR ASO | $1,832.72 | — |
| Cigna | Commercial | $1,832.72 | — |
| UPMC Health Plan | Managed Medicare | $1,919.29 | — |
| Geisinger | Medicaid/CHIP | $2,116.32 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,116.32 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,116.32 | — |
| PA Health & Wellness | PA Medicaid HMO | $2,116.32 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,166.69 | — |
| Aetna | Medicare | $2,179.81 | — |
| Aetna of PA | Medicare | $2,222.14 | — |
| United Healthcare | Unison Advantage Non Special Needs | $2,222.14 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $2,285.41 | — |
| AmeriHealth Caritas | Medicare | $2,285.63 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,285.63 | — |
| United Healthcare | Unison Advantage Special Needs | $2,327.95 | — |
| UPMC Health Plan | Commercial | $2,603.08 | — |
| Aetna | EBR FI | $2,657.44 | — |
| Aetna | Neighborhood Network | $2,749.08 | — |
| Aetna | Home Depot Employer Group | $2,826.97 | — |
| Aetna | NBR ASO/FI | $2,886.53 | — |
| Cigna | New Business ASO | $2,886.53 | — |
| InterGroup | PPO | $2,978.17 | — |
| Coventry/First Health | Commercial | $3,207.26 | — |
| Health Coalition Partners | PPO | $3,298.90 | — |
| Private Health Care Systems | PPO | $3,665.44 | — |
| Humana | Commercial | $3,894.53 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Thyrotropin alfa 0.9 mg intramuscular solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,843.80 | $297.20 – $11,112.05 |
| UPMC Presbyterian | Pittsburgh | $8,959.80 | $297.20 – $12,693.05 |
| UPMC Somerset | Somerset | $1,186.20 | $291.42 – $2,116.32 |
| UPMC St. Margaret | Pittsburgh | $19,696.80 | $297.20 – $3,894.53 |
| UPMC Mercy | Pittsburgh | not published | $294.40 – $4,123.62 |