healthcosts.net
Graft nerve adv 3-4x70mm at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$5,283.60
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.
?
What you pay up front if you don't use insurance.
$8,806.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,222.00 with Aetna vs $5,555.44 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,222.00 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,548.65 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $1,613.04 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,653.61 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,908.05 | ↓ -64% |
| Aetna | EBR ASO | $1,955.20 | ↓ -63% |
| Cigna | Commercial | $1,955.20 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,955.20 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,444.00 | ↓ -54% |
| Aetna | EBR FI | $2,835.04 | ↓ -46% |
| Aetna | Neighborhood Network | $2,932.80 | ↓ -44% |
| Aetna | Home Depot Employer Group | $3,015.90 | ↓ -43% |
| Aetna | NBR ASO/FI | $3,079.44 | ↓ -42% |
| Cigna | New Business ASO | $3,079.44 | ↓ -42% |
| InterGroup | PPO | $3,177.20 | ↓ -40% |
| Coventry/First Health | Commercial | $3,421.60 | ↓ -35% |
| Health Coalition Partners | PPO | $3,519.36 | ↓ -33% |
| Private Health Care Systems | PPO | $3,910.40 | ↓ -26% |
| Humana | Commercial | $4,154.80 | ↓ -21% |
| UPMC Health Plan | Commercial | $5,555.44 | ↑ +5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft nerve adv 3-4x70mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $30,375.00 | $320.64 – $3,625.20 |
| UPMC Muncy | Muncy | $21,493.20 | $145.05 – $870.30 |
| UPMC Passavant-McCandless | Pittsburgh | $23,563.20 | $6.60 – $6,662.02 |
| UPMC Presbyterian | Pittsburgh | $45,505.20 | $151.44 – $7,422.72 |
| UPMC St. Margaret | Pittsburgh | $25,226.40 | $201.00 – $5,633.41 |
| UPMC Wellsboro | Wellsboro | $25,992.80 | $183.42 – $917.10 |
| UPMC Williamsport | Williamsport | $28,969.20 | $160.00 – $720.00 |