healthcosts.net
Cytogenomic neo microra alys at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,343.40
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.
$2,239.00
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.
$844.80 with Aetna vs $2,076.44 with Highmark BCBS of PA — 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 | EBR ASO | $844.80 | ↓ -37% |
| Cigna | Commercial | $844.80 | ↓ -37% |
| UPMC Health Plan | Managed Medicare | $1,052.00 | ↓ -22% |
| UPMC Work Partners | Workers Comp | $1,146.45 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $1,160.00 | ↓ -14% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,160.00 | ↓ -14% |
| PA Health & Wellness | PA Medicaid HMO | $1,161.60 | ↓ -14% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,187.61 | ↓ -12% |
| Aetna | Medicare | $1,194.80 | ↓ -11% |
| Aetna of PA | Medicare | $1,218.00 | ↓ -9% |
| United Healthcare | Unison Advantage Non Special Needs | $1,218.00 | ↓ -9% |
| Aetna | EBR FI | $1,224.96 | ↓ -9% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,252.68 | ↓ -7% |
| AmeriHealth Caritas | Medicare | $1,252.80 | ↓ -7% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,252.80 | ↓ -7% |
| Aetna | Neighborhood Network | $1,267.20 | ↓ -6% |
| United Healthcare | Unison Advantage Special Needs | $1,276.00 | ↓ -5% |
| Aetna | Home Depot Employer Group | $1,303.10 | ↓ -3% |
| Aetna | NBR ASO/FI | $1,330.56 | ↓ -1% |
| Cigna | New Business ASO | $1,330.56 | ↓ -1% |
| InterGroup | PPO | $1,372.80 | ↑ +2% |
| Coventry/First Health | Commercial | $1,478.40 | ↑ +10% |
| Health Coalition Partners | PPO | $1,520.64 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,610.82 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,685.32 | ↑ +25% |
| Private Health Care Systems | PPO | $1,689.60 | ↑ +26% |
| Humana | Commercial | $1,795.20 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,076.44 | ↑ +55% |
Visitor-reported prices
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Cytogenomic neo microra alys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,416.00 | $655.54 – $1,889.55 |
| UPMC Mercy | Pittsburgh | $1,343.40 | $589.25 – $1,900.80 |
| UPMC Presbyterian | Pittsburgh | $1,343.40 | $380.16 – $1,795.20 |
| UPMC St. Margaret | Pittsburgh | $1,343.40 | $532.22 – $1,795.20 |