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Guide endoanchr sg-64 aaa 62cm at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,821.00
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.
$3,035.00
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.
$590.50 with Aetna vs $3,977.40 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 | $590.50 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $779.46 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $799.06 | ↓ -56% |
| Aetna | EBR ASO | $944.80 | ↓ -48% |
| Cigna | Commercial | $944.80 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicaid | $944.80 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,181.00 | ↓ -35% |
| Aetna | EBR FI | $1,369.96 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,397.36 | ↓ -23% |
| Aetna | Neighborhood Network | $1,417.20 | ↓ -22% |
| Aetna | Home Depot Employer Group | $1,457.35 | ↓ -20% |
| Aetna | NBR ASO/FI | $1,488.06 | ↓ -18% |
| Cigna | New Business ASO | $1,488.06 | ↓ -18% |
| InterGroup | PPO | $1,535.30 | ↓ -16% |
| Coventry/First Health | Commercial | $1,653.40 | ↓ -9% |
| Health Coalition Partners | PPO | $1,700.64 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,721.65 | ↓ -5% |
| Private Health Care Systems | PPO | $1,889.60 | ↑ +4% |
| Humana | Commercial | $2,007.70 | ↑ +10% |
| UPMC Health Plan | Commercial | $3,977.40 | ↑ +118% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Guide endoanchr sg-64 aaa 62cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $24,470.40 | $243.12 – $2,595.45 |
| UPMC Muncy | Muncy | $7,473.60 | $27.90 – $167.40 |
| UPMC Passavant-McCandless | Pittsburgh | $24,470.40 | $62.48 – $4,769.65 |
| UPMC Presbyterian | Pittsburgh | $34,584.60 | $17.64 – $5,314.27 |
| UPMC St. Margaret | Pittsburgh | $11,708.40 | $277.25 – $4,033.22 |
| UPMC Wellsboro | Wellsboro | $9,038.40 | $30.42 – $152.10 |
| UPMC Williamsport | Williamsport | $9,511.20 | $37.20 – $167.40 |