healthcosts.net
Filter spider fx 3mmx320cm at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$3,649.20
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.
$6,082.00
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.
$438.50 with Aetna vs $5,438.37 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 |
|---|---|---|---|
| Aetna | Medicare | $438.50 | ↓ -88% |
| Aetna | EBR ASO | $701.60 | ↓ -81% |
| Cigna | Commercial | $701.60 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $877.00 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $964.70 | ↓ -74% |
| Aetna | EBR FI | $1,017.32 | ↓ -72% |
| Aetna | Neighborhood Network | $1,052.40 | ↓ -71% |
| Aetna | Home Depot Employer Group | $1,082.22 | ↓ -70% |
| Aetna | NBR ASO/FI | $1,105.02 | ↓ -70% |
| Cigna | New Business ASO | $1,105.02 | ↓ -70% |
| InterGroup | PPO | $1,140.10 | ↓ -69% |
| Coventry/First Health | Commercial | $1,227.80 | ↓ -66% |
| Health Coalition Partners | PPO | $1,262.88 | ↓ -65% |
| Private Health Care Systems | PPO | $1,403.20 | ↓ -62% |
| Humana | Commercial | $1,490.90 | ↓ -59% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,057.54 | ↓ -44% |
| UPMC Health Plan | Commercial | $2,103.29 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,432.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $4,413.99 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $5,438.37 | ↑ +49% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Filter spider fx 3mmx320cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $40,462.20 | $91.00 – $1,700.71 |
| UPMC Passavant-McCandless | Pittsburgh | $9,370.80 | $53.75 – $2,522.24 |
| UPMC Presbyterian | Pittsburgh | $53,950.20 | $76.68 – $3,787.61 |
| UPMC Somerset | Somerset | $6,785.40 | $1,041.08 – $8,481.75 |
| UPMC St. Margaret | Pittsburgh | $5,341.80 | $721.00 – $2,451.40 |
| UPMC Williamsport | Williamsport | $5,677.80 | $1,892.60 – $8,516.70 |