healthcosts.net
Cath ablt clsfast 7fx100cmx at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,363.20
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.
$2,272.00
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.
$477.00 with Aetna vs $4,959.99 with UPMC Health Plan — 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 | $477.00 | ↓ -65% |
| Aetna | EBR ASO | $763.20 | ↓ -44% |
| Cigna | Commercial | $763.20 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $954.00 | ↓ -30% |
| PA Health & Wellness | PA Medicaid HMO | $1,049.40 | ↓ -23% |
| Aetna | EBR FI | $1,106.64 | ↓ -19% |
| Aetna | Neighborhood Network | $1,144.80 | ↓ -16% |
| Aetna | Home Depot Employer Group | $1,177.24 | ↓ -14% |
| Aetna | NBR ASO/FI | $1,202.04 | ↓ -12% |
| Cigna | New Business ASO | $1,202.04 | ↓ -12% |
| InterGroup | PPO | $1,240.20 | ↓ -9% |
| Coventry/First Health | Commercial | $1,335.60 | ↓ -2% |
| Health Coalition Partners | PPO | $1,373.76 | ↑ +1% |
| Private Health Care Systems | PPO | $1,526.40 | ↑ +12% |
| Humana | Commercial | $1,621.80 | ↑ +19% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,667.42 | ↑ +22% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,054.39 | ↑ +51% |
| UPMC Health Plan | Commercial | $4,959.99 | ↑ +264% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath ablt clsfast 7fx100cmx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,990.00 | $250.50 – $3,236.64 |
| UPMC Muncy | Muncy | $3,024.00 | $756.00 – $4,536.00 |
| UPMC Passavant-McCandless | Pittsburgh | $5,457.00 | $638.00 – $5,947.96 |
| UPMC Presbyterian | Pittsburgh | $8,981.40 | $648.57 – $6,627.13 |
| UPMC Somerset | Somerset | $2,271.00 | $635.96 – $2,838.75 |
| UPMC St. Margaret | Pittsburgh | $8,284.20 | $572.75 – $5,029.60 |
| UPMC Wellsboro | Wellsboro | $3,656.80 | $822.78 – $4,113.90 |
| UPMC Williamsport | Williamsport | $3,024.00 | $620.19 – $2,067.30 |