healthcosts.net
Debride/subq tissue/ea add 20sq cm 11045 at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,588.80
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.
?
What you pay up front if you don't use insurance.
$2,648.00
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.
$46.42 with UPMC Work Partners vs $2,250.80 with Humana — 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 Work Partners | Workers Comp | $46.42 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $146.80 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $180.87 | ↓ -89% |
| UPMC Health Plan | Commercial | $235.18 | ↓ -85% |
| Aetna | Medicare | $662.00 | ↓ -58% |
| Aetna | EBR ASO | $1,059.20 | ↓ -33% |
| Cigna | Commercial | $1,059.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,324.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,456.40 | ↓ -8% |
| Aetna | EBR FI | $1,535.84 | ↓ -3% |
| Aetna | Neighborhood Network | $1,588.80 | ↑ +0% |
| Aetna | Home Depot Employer Group | $1,633.82 | ↑ +3% |
| Aetna | NBR ASO/FI | $1,668.24 | ↑ +5% |
| Cigna | New Business ASO | $1,668.24 | ↑ +5% |
| InterGroup | PPO | $1,721.20 | ↑ +8% |
| Coventry/First Health | Commercial | $1,853.60 | ↑ +17% |
| Health Coalition Partners | PPO | $1,906.56 | ↑ +20% |
| Private Health Care Systems | PPO | $2,118.40 | ↑ +33% |
| Humana | Commercial | $2,250.80 | ↑ +42% |
Visitor-reported prices
Comments
Debride/subq tissue/ea add 20sq cm 11045 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $912.60 | $46.42 – $1,292.85 |
| UPMC Mercy | Pittsburgh | $817.20 | $51.93 – $1,225.80 |
| UPMC Muncy | Muncy | $728.40 | $18.50 – $971.20 |
| UPMC St. Margaret | Pittsburgh | $811.20 | $46.42 – $1,149.20 |
| UPMC Wellsboro | Wellsboro | $728.40 | $3.96 – $46.42 |
| UPMC Williamsport | Williamsport | $728.40 | $18.50 – $971.20 |
| UPMC Presbyterian | Pittsburgh | not published | $17.34 – $189.40 |