healthcosts.net
Abd/low ext cath 2nd at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$6,644.40
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.
$11,074.00
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.
$756.89 with UPMC Work Partners vs $9,412.90 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $756.89 | ↓ -89% |
| UPMC Health Plan | Commercial | $2,532.58 | ↓ -62% |
| Aetna | Medicare | $2,768.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $2,877.12 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $3,544.82 | ↓ -47% |
| InterGroup | PPO | $3,704.00 | ↓ -44% |
| Aetna | EBR ASO | $4,429.60 | ↓ -33% |
| Cigna | Commercial | $4,429.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,537.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $6,090.70 | ↓ -8% |
| Aetna | EBR FI | $6,422.92 | ↓ -3% |
| Aetna | Neighborhood Network | $6,644.40 | ↑ +0% |
| Aetna | Home Depot Employer Group | $6,832.66 | ↑ +3% |
| Aetna | NBR ASO/FI | $6,976.62 | ↑ +5% |
| Cigna | New Business ASO | $6,976.62 | ↑ +5% |
| Coventry/First Health | Commercial | $7,751.80 | ↑ +17% |
| Health Coalition Partners | PPO | $7,973.28 | ↑ +20% |
| Private Health Care Systems | PPO | $8,859.20 | ↑ +33% |
| Humana | Commercial | $9,412.90 | ↑ +42% |
Visitor-reported prices
Comments
Abd/low ext cath 2nd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $6,016.80 | $795.09 – $8,523.80 |
| UPMC Mercy | Pittsburgh | $4,366.20 | $804.27 – $6,549.30 |
| UPMC Presbyterian | Pittsburgh | $7,748.40 | $804.27 – $10,976.90 |
| UPMC Somerset | Somerset | $4,321.20 | $748.03 – $5,401.50 |
| UPMC St. Margaret | Pittsburgh | $3,433.80 | $795.09 – $4,864.55 |
| UPMC Williamsport | Williamsport | $948.00 | $426.60 – $1,264.00 |