healthcosts.net
Circumcision (newborn) at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$2,149.20
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.
?
What you pay up front if you don't use insurance.
$3,582.00
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.
$86.90 with UPMC Health Plan vs $4,412.91 with UPMC Health Plan — 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 Health Plan | Managed Medicaid | $86.90 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $90.85 | ↓ -96% |
| Aetna | Medicaid | $94.80 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.16 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $123.33 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $134.63 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $337.70 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $416.07 | ↓ -81% |
| Cigna | Commercial | $1,432.80 | ↓ -33% |
| Aetna | EBR ASO | $1,432.80 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $1,771.18 | ↓ -18% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,953.01 | ↓ -9% |
| Aetna | Medicare | $2,011.60 | ↓ -6% |
| United Healthcare | Unison Advantage Non Special Needs | $2,050.66 | ↓ -5% |
| Aetna of PA | Medicare | $2,050.66 | ↓ -5% |
| Aetna | EBR FI | $2,077.56 | ↓ -3% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,109.06 | ↓ -2% |
| AmeriHealth Caritas | Medicare | $2,109.25 | ↓ -2% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,109.25 | ↓ -2% |
| United Healthcare | Unison Advantage Special Needs | $2,148.31 | ↓ -0% |
| Aetna | Neighborhood Network | $2,149.20 | ↑ +0% |
| Aetna | Home Depot Employer Group | $2,210.09 | ↑ +3% |
| Aetna | NBR ASO/FI | $2,256.66 | ↑ +5% |
| Cigna | New Business ASO | $2,256.66 | ↑ +5% |
| InterGroup | PPO | $2,328.30 | ↑ +8% |
| Coventry/First Health | Commercial | $2,507.40 | ↑ +17% |
| Health Coalition Partners | PPO | $2,579.04 | ↑ +20% |
| Private Health Care Systems | PPO | $2,865.60 | ↑ +33% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,949.20 | ↑ +37% |
| Humana | Commercial | $3,044.70 | ↑ +42% |
| UPMC Health Plan | Commercial | $4,412.91 | ↑ +105% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Circumcision (newborn) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,219.20 | $100.33 – $3,135.44 |
| UPMC Altoona | Altoona | $1,248.60 | $27.00 – $2,089.72 |
| UPMC Cole | Coudersport | $283.80 | $82.95 – $2,325.85 |
| UPMC Hanover | Hanover | $1,219.20 | $100.33 – $3,131.10 |
| UPMC Horizon-Greenville | Greenville | $593.40 | $31.88 – $2,050.66 |
| UPMC Lititz | Lititz | $1,219.20 | $100.33 – $3,148.02 |
| UPMC Magee | Pittsburgh | $2,380.80 | $26.56 – $3,650.56 |
| UPMC Memorial | York | $1,219.20 | $100.33 – $3,142.91 |