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Cholesterol body fluid at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$6,841.20
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.
$11,402.00
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.
$0.78 with UPMC Health Plan vs $38.25 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 | Commercial | $0.78 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $6.85 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $8.44 | ↓ -100% |
| Aetna | Medicare | $11.25 | ↓ -100% |
| Aetna | EBR ASO | $18.00 | ↓ -100% |
| Cigna | Commercial | $18.00 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.50 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $24.75 | ↓ -100% |
| Aetna | EBR FI | $26.10 | ↓ -100% |
| Aetna | Neighborhood Network | $27.00 | ↓ -100% |
| Aetna | Home Depot Employer Group | $27.77 | ↓ -100% |
| Aetna | NBR ASO/FI | $28.35 | ↓ -100% |
| Cigna | New Business ASO | $28.35 | ↓ -100% |
| InterGroup | PPO | $29.25 | ↓ -100% |
| Coventry/First Health | Commercial | $31.50 | ↓ -100% |
| Health Coalition Partners | PPO | $32.40 | ↓ -100% |
| Private Health Care Systems | PPO | $36.00 | ↓ -99% |
| Humana | Commercial | $38.25 | ↓ -99% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cholesterol body fluid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $9,563.40 | $0.78 – $14.45 |
| UPMC Mercy | Pittsburgh | $6,088.80 | $0.77 – $213.30 |
| UPMC Muncy | Muncy | $514.80 | $128.70 – $772.20 |
| UPMC Presbyterian | Pittsburgh | $9,563.40 | $0.82 – $17.85 |
| UPMC Somerset | Somerset | $49.80 | $1.93 – $31.50 |
| UPMC St. Margaret | Pittsburgh | $998.40 | $0.78 – $17.85 |
| UPMC Wellsboro | Wellsboro | $622.40 | $64.62 – $323.10 |
| UPMC Williamsport | Williamsport | $9,473.40 | $5.13 – $17.10 |