healthcosts.net
Drsg interceed 3x4in adh wnd barr absorb at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$2,118.60
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.
$3,531.00
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.
$340.06 with Highmark BCBS of PA vs $1,450.95 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $340.06 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $418.99 | ↓ -80% |
| Aetna | Medicare | $426.75 | ↓ -80% |
| UPMC Health Plan | Commercial | $478.62 | ↓ -77% |
| Aetna | EBR ASO | $682.80 | ↓ -68% |
| Cigna | Commercial | $682.80 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $853.50 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $938.85 | ↓ -56% |
| Aetna | EBR FI | $990.06 | ↓ -53% |
| Aetna | Neighborhood Network | $1,024.20 | ↓ -52% |
| Aetna | Home Depot Employer Group | $1,053.22 | ↓ -50% |
| Aetna | NBR ASO/FI | $1,075.41 | ↓ -49% |
| Cigna | New Business ASO | $1,075.41 | ↓ -49% |
| InterGroup | PPO | $1,109.55 | ↓ -48% |
| Coventry/First Health | Commercial | $1,194.90 | ↓ -44% |
| Health Coalition Partners | PPO | $1,229.04 | ↓ -42% |
| Private Health Care Systems | PPO | $1,365.60 | ↓ -36% |
| Humana | Commercial | $1,450.95 | ↓ -32% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Drsg interceed 3x4in adh wnd barr absorb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,118.60 | $131.03 – $1,027.80 |
| UPMC Muncy | Muncy | $1,778.40 | $214.65 – $1,287.90 |
| UPMC Passavant-McCandless | Pittsburgh | $2,245.20 | $132.27 – $970.70 |
| UPMC Presbyterian | Pittsburgh | $3,115.80 | $132.27 – $1,370.20 |
| UPMC Somerset | Somerset | $640.80 | $129.70 – $708.00 |
| UPMC St. Margaret | Pittsburgh | $2,118.60 | $119.00 – $485.34 |
| UPMC Wellsboro | Wellsboro | $2,151.20 | $233.64 – $1,168.20 |
| UPMC Williamsport | Williamsport | $1,778.40 | $117.18 – $390.60 |