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Angio trnslmnl balloon same artery ea addl at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$9,692.40
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.
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What you pay up front if you don't use insurance.
$16,154.00
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.
$159.14 with UPMC Health Plan vs $13,730.90 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $159.14 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $166.37 | ↓ -98% |
| Aetna | Medicaid | $173.60 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $214.55 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $225.84 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $246.55 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $1,093.76 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,398.85 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,723.49 | ↓ -82% |
| InterGroup | PPO | $3,704.00 | ↓ -62% |
| Aetna | Medicare | $4,038.50 | ↓ -58% |
| Aetna | EBR ASO | $6,461.60 | ↓ -33% |
| Cigna | Commercial | $6,461.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,077.00 | ↓ -17% |
| Aetna | EBR FI | $9,369.32 | ↓ -3% |
| Aetna | Neighborhood Network | $9,692.40 | ↑ +0% |
| Aetna | Home Depot Employer Group | $9,967.02 | ↑ +3% |
| Aetna | NBR ASO/FI | $10,177.02 | ↑ +5% |
| Cigna | New Business ASO | $10,177.02 | ↑ +5% |
| Coventry/First Health | Commercial | $11,307.80 | ↑ +17% |
| Health Coalition Partners | PPO | $11,630.88 | ↑ +20% |
| UPMC Health Plan | Commercial | $12,320.66 | ↑ +27% |
| Private Health Care Systems | PPO | $12,923.20 | ↑ +33% |
| Humana | Commercial | $13,730.90 | ↑ +42% |
Visitor-reported prices
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Angio trnslmnl balloon same artery ea addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,205.00 | $159.14 – $11,623.75 |
| UPMC Mercy | Pittsburgh | $11,276.40 | $159.14 – $16,914.60 |
| UPMC Presbyterian | Pittsburgh | $11,307.00 | $159.14 – $16,018.25 |
| UPMC Somerset | Somerset | $2,162.40 | $159.14 – $2,703.00 |
| UPMC Williamsport | Williamsport | $4,126.80 | $159.14 – $5,502.40 |