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Clip ligating vesolock lg at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$699.00
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.
$1,165.00
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.
$168.50 with Aetna vs $1,679.28 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 | $168.50 | ↓ -76% |
| Aetna | EBR ASO | $269.60 | ↓ -61% |
| Cigna | Commercial | $269.60 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $337.00 | ↓ -52% |
| PA Health & Wellness | PA Medicaid HMO | $360.03 | ↓ -48% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $369.09 | ↓ -47% |
| Aetna | EBR FI | $390.92 | ↓ -44% |
| Aetna | Neighborhood Network | $404.40 | ↓ -42% |
| Aetna | Home Depot Employer Group | $415.86 | ↓ -41% |
| Aetna | NBR ASO/FI | $424.62 | ↓ -39% |
| Cigna | New Business ASO | $424.62 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicaid | $436.40 | ↓ -38% |
| InterGroup | PPO | $438.10 | ↓ -37% |
| Coventry/First Health | Commercial | $471.80 | ↓ -33% |
| Health Coalition Partners | PPO | $485.28 | ↓ -31% |
| Private Health Care Systems | PPO | $539.20 | ↓ -23% |
| Humana | Commercial | $572.90 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $611.19 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $753.03 | ↑ +8% |
| UPMC Health Plan | Commercial | $1,679.28 | ↑ +140% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Clip ligating vesolock lg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,453.20 | $147.50 – $1,095.82 |
| UPMC Muncy | Muncy | $608.40 | $152.10 – $912.60 |
| UPMC Passavant-McCandless | Pittsburgh | $1,459.80 | $174.00 – $2,013.78 |
| UPMC Presbyterian | Pittsburgh | $6,953.40 | $150.12 – $2,243.72 |
| UPMC Somerset | Somerset | $1,380.60 | $105.54 – $831.20 |
| UPMC St. Margaret | Pittsburgh | $1,806.60 | $45.50 – $1,702.85 |
| UPMC Wellsboro | Wellsboro | $736.00 | $165.60 – $828.00 |
| UPMC Williamsport | Williamsport | $925.20 | $18.09 – $172.60 |