healthcosts.net
Genome sequence analysis at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$4,439.40
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.
$7,399.00
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.
$2,959.60 with Aetna vs $9,825.50 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 | EBR ASO | $2,959.60 | ↓ -33% |
| Cigna | Commercial | $2,959.60 | ↓ -33% |
| InterGroup | PPO | $3,704.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $4,069.45 | ↓ -8% |
| Aetna | EBR FI | $4,291.42 | ↓ -3% |
| Aetna | Neighborhood Network | $4,439.40 | ↑ +0% |
| UPMC Health Plan | Managed Medicare | $4,562.80 | ↑ +3% |
| Aetna | Home Depot Employer Group | $4,565.18 | ↑ +3% |
| Aetna | NBR ASO/FI | $4,661.37 | ↑ +5% |
| Cigna | New Business ASO | $4,661.37 | ↑ +5% |
| UPMC Work Partners | Workers Comp | $4,972.44 | ↑ +12% |
| Geisinger | Medicaid/CHIP | $5,031.20 | ↑ +13% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,031.20 | ↑ +13% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,150.94 | ↑ +16% |
| Coventry/First Health | Commercial | $5,179.30 | ↑ +17% |
| Aetna | Medicare | $5,182.14 | ↑ +17% |
| Aetna of PA | Medicare | $5,282.76 | ↑ +19% |
| United Healthcare | Unison Advantage Non Special Needs | $5,282.76 | ↑ +19% |
| Health Coalition Partners | PPO | $5,327.28 | ↑ +20% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,433.19 | ↑ +22% |
| AmeriHealth Caritas | Medicare | $5,433.70 | ↑ +22% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,433.70 | ↑ +22% |
| United Healthcare | Unison Advantage Special Needs | $5,534.32 | ↑ +25% |
| UPMC Health Plan | Commercial | $5,643.22 | ↑ +27% |
| Private Health Care Systems | PPO | $5,919.20 | ↑ +33% |
| Humana | Commercial | $6,289.15 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $7,974.76 | ↑ +80% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $9,825.50 | ↑ +121% |
Visitor-reported prices
Comments
Genome sequence analysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,439.40 | $2,515.66 – $6,289.15 |
| UPMC Mercy | Pittsburgh | $4,439.40 | $2,064.32 – $6,659.10 |
| UPMC Presbyterian | Pittsburgh | $7,352.40 | $1,331.82 – $6,289.15 |
| UPMC St. Margaret | Pittsburgh | $4,439.40 | $1,864.55 – $6,289.15 |
| UPMC Wellsboro | Wellsboro | $4,188.00 | $1,256.40 – $6,282.00 |
| UPMC Williamsport | Williamsport | $4,397.40 | $2,770.36 – $5,863.20 |