healthcosts.net
Cylinder pump set 20cm titan zero angl at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$3,862.80
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.
$6,438.00
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.
$447.75 with Aetna vs $20,112.58 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 | $447.75 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $591.03 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $605.90 | ↓ -84% |
| Aetna | EBR ASO | $716.40 | ↓ -81% |
| Cigna | Commercial | $716.40 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $716.40 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $895.50 | ↓ -77% |
| Aetna | EBR FI | $1,038.78 | ↓ -73% |
| Aetna | Neighborhood Network | $1,074.60 | ↓ -72% |
| Aetna | Home Depot Employer Group | $1,105.05 | ↓ -71% |
| Aetna | NBR ASO/FI | $1,128.33 | ↓ -71% |
| Cigna | New Business ASO | $1,128.33 | ↓ -71% |
| InterGroup | PPO | $1,164.15 | ↓ -70% |
| Coventry/First Health | Commercial | $1,253.70 | ↓ -68% |
| Health Coalition Partners | PPO | $1,289.52 | ↓ -67% |
| Private Health Care Systems | PPO | $1,432.80 | ↓ -63% |
| Humana | Commercial | $1,522.35 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $9,496.92 | ↑ +146% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $11,700.92 | ↑ +203% |
| UPMC Health Plan | Commercial | $20,112.58 | ↑ +421% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cylinder pump set 20cm titan zero angl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $27,160.20 | $429.84 – $13,124.45 |
| UPMC Passavant-McCandless | Pittsburgh | $25,255.20 | $1,591.26 – $24,118.78 |
| UPMC Presbyterian | Pittsburgh | $34,293.60 | $33.84 – $26,872.78 |
| UPMC St. Margaret | Pittsburgh | $24,717.60 | $598.40 – $20,394.84 |