healthcosts.net
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$641.40
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.
?
What you pay up front if you don't use insurance.
$1,069.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.48 with Highmark BCBS of PA vs $780.00 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Medicare Advantage | $5.48 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $11.95 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.07 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $12.07 | ↓ -98% |
| Geisinger | Medicaid | $12.07 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.07 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $12.07 | ↓ -98% |
| United Healthcare | Medicare | $12.07 | ↓ -98% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $12.31 | ↓ -98% |
| UPMC Health Plan | CHIP | $12.45 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.03 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $17.90 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $22.66 | ↓ -96% |
| UPMC Health Plan | Commercial | $41.63 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $350.17 | ↓ -45% |
| Geisinger | Commercial | $409.55 | ↓ -36% |
| Aetna of PA | TPA/Carrier | $416.00 | ↓ -35% |
| Multiplan | PPO (Includes PHCS as a Payer) | $520.00 | ↓ -19% |
| Galaxy Health Plan | Commercial | $676.00 | ↑ +5% |
| Humana | Commercial | $780.00 | ↑ +22% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $8,032.20 | $5.54 – $12,048.30 |
| UPMC Northwest | Seneca | $7,324.20 | $7.62 – $43.35 |
| UPMC Passavant-McCandless | Pittsburgh | $8,428.80 | $5.59 – $52.70 |
| UPMC Presbyterian | Pittsburgh | $12,093.00 | $5.59 – $85.00 |
| UPMC St. Margaret | Pittsburgh | $8,341.20 | $5.59 – $56.95 |
| UPMC Wellsboro | Wellsboro | $8,542.20 | $5.76 – $28.80 |