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Expander tiss 133s-mv-12-t 300ml natrelle smth at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$3,237.00
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.
$5,395.00
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.
$692.50 with Aetna vs $4,257.40 with UPMC Health Plan — 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 | Medicare | $692.50 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $914.10 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $937.09 | ↓ -71% |
| Aetna | EBR ASO | $1,108.00 | ↓ -66% |
| Cigna | Commercial | $1,108.00 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,108.00 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,385.00 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,499.15 | ↓ -54% |
| Aetna | EBR FI | $1,606.60 | ↓ -50% |
| Aetna | Neighborhood Network | $1,662.00 | ↓ -49% |
| Aetna | Home Depot Employer Group | $1,709.09 | ↓ -47% |
| Aetna | NBR ASO/FI | $1,745.10 | ↓ -46% |
| Cigna | New Business ASO | $1,745.10 | ↓ -46% |
| InterGroup | PPO | $1,800.50 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,847.07 | ↓ -43% |
| Coventry/First Health | Commercial | $1,939.00 | ↓ -40% |
| Health Coalition Partners | PPO | $1,994.40 | ↓ -38% |
| Private Health Care Systems | PPO | $2,216.00 | ↓ -32% |
| Humana | Commercial | $2,354.50 | ↓ -27% |
| UPMC Health Plan | Commercial | $4,257.40 | ↑ +32% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander tiss 133s-mv-12-t 300ml natrelle smth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,730.60 | $162.00 – $2,778.17 |
| UPMC Muncy | Muncy | $3,449.40 | $113.40 – $680.40 |
| UPMC Passavant-McCandless | Pittsburgh | $5,235.60 | $160.82 – $5,105.43 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $9.84 – $5,688.39 |
| UPMC St. Margaret | Pittsburgh | $2,680.20 | $170.60 – $4,317.15 |
| UPMC Wellsboro | Wellsboro | $4,135.20 | $723.42 – $3,617.10 |
| UPMC Williamsport | Williamsport | $2,872.20 | $156.20 – $702.90 |