healthcosts.net
Design mlc device for imrt at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,254.00
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.
$2,090.00
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.
$316.51 with UPMC Health Plan vs $1,776.50 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $316.51 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $349.00 | ↓ -72% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $357.31 | ↓ -72% |
| Aetna | Medicare | $359.47 | ↓ -71% |
| Aetna of PA | Medicare | $366.45 | ↓ -71% |
| United Healthcare | Unison Advantage Non Special Needs | $366.45 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $376.89 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $376.92 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $376.92 | ↓ -70% |
| United Healthcare | Unison Advantage Special Needs | $383.90 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $702.81 | ↓ -44% |
| UPMC Health Plan | Commercial | $750.59 | ↓ -40% |
| Aetna | EBR ASO | $836.00 | ↓ -33% |
| Cigna | Commercial | $836.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,125.85 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $1,149.50 | ↓ -8% |
| Aetna | EBR FI | $1,212.20 | ↓ -3% |
| Aetna | Neighborhood Network | $1,254.00 | ↑ +0% |
| Aetna | Home Depot Employer Group | $1,289.53 | ↑ +3% |
| Aetna | NBR ASO/FI | $1,316.70 | ↑ +5% |
| Cigna | New Business ASO | $1,316.70 | ↑ +5% |
| InterGroup | PPO | $1,358.50 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,387.13 | ↑ +11% |
| Coventry/First Health | Commercial | $1,463.00 | ↑ +17% |
| Health Coalition Partners | PPO | $1,504.80 | ↑ +20% |
| Private Health Care Systems | PPO | $1,672.00 | ↑ +33% |
| Humana | Commercial | $1,776.50 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Design mlc device for imrt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,772.40 | $324.33 – $2,510.90 |
| UPMC Presbyterian | Pittsburgh | $1,864.80 | $262.58 – $2,641.80 |
| UPMC Somerset | Somerset | $1,479.60 | $251.64 – $1,849.50 |
| UPMC St. Margaret | Pittsburgh | $2,539.20 | $301.33 – $3,597.20 |
| UPMC Williamsport | Williamsport | $5,968.20 | $280.09 – $7,957.60 |