Endo abl/incom vein/ext/rad fre/#1 36475 at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
not published by hospital
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.
not published by hospital
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.
$2,721.39 with UPMC Health Plan vs $12,184.58 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $2,721.39 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,000.76 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,072.18 | — |
| Aetna | Medicare | $3,090.78 | — |
| Aetna of PA | Medicare | $3,150.80 | — |
| United Healthcare | Unison Advantage Non Special Needs | $3,150.80 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | — |
| AmeriHealth Caritas | Medicare | $3,240.82 | — |
| United Healthcare | Unison Advantage Special Needs | $3,300.84 | — |
| UPMC Work Partners | Workers Comp | $3,749.62 | — |
| UPMC Health Plan | Commercial | $4,793.09 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $9,889.48 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $12,184.58 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Endo abl/incom vein/ext/rad fre/#1 36475 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $24,570.60 | $3,060.18 – $32,760.80 |
| UPMC East | Monroeville | $21,260.40 | $3,008.86 – $28,347.20 |
| UPMC Hamot | Erie | $22,308.00 | $3,463.26 – $4,364.40 |
| UPMC Hanover | Hanover | $7,047.00 | $1,016.56 – $10,146.42 |
| UPMC Magee | Pittsburgh | $20,744.40 | $2,808.41 – $3,846.69 |
| UPMC McKeesport | Mckeesport | $18,493.20 | $324.82 – $3,846.69 |
| UPMC Memorial | York | $7,047.00 | $1,016.56 – $10,146.42 |
| UPMC Mercy | Pittsburgh | $15,871.80 | $2,274.00 – $4,422.15 |