healthcosts.net
Immobilizer shldr cntor adlt at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$198.00
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.
$330.00
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.
$33.25 with Aetna vs $725.49 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 | $33.25 | ↓ -83% |
| Aetna | EBR ASO | $53.20 | ↓ -73% |
| Cigna | Commercial | $53.20 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.20 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $66.50 | ↓ -66% |
| PA Health & Wellness | PA Medicaid HMO | $73.15 | ↓ -63% |
| Aetna | EBR FI | $77.14 | ↓ -61% |
| Aetna | Neighborhood Network | $79.80 | ↓ -60% |
| Aetna | Home Depot Employer Group | $82.06 | ↓ -59% |
| Aetna | NBR ASO/FI | $83.79 | ↓ -58% |
| Cigna | New Business ASO | $83.79 | ↓ -58% |
| InterGroup | PPO | $86.45 | ↓ -56% |
| Coventry/First Health | Commercial | $93.10 | ↓ -53% |
| Health Coalition Partners | PPO | $95.76 | ↓ -52% |
| Private Health Care Systems | PPO | $106.40 | ↓ -46% |
| Humana | Commercial | $113.05 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $229.76 | ↑ +16% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $417.74 | ↑ +111% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $514.68 | ↑ +160% |
| UPMC Health Plan | Commercial | $725.49 | ↑ +266% |
Visitor-reported prices
Comments
Immobilizer shldr cntor adlt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $378.00 | $14.88 – $473.42 |
| UPMC Muncy | Muncy | $35.40 | $4.50 – $229.76 |
| UPMC Passavant-McCandless | Pittsburgh | $376.80 | $9.24 – $870.00 |
| UPMC Presbyterian | Pittsburgh | $631.80 | $7.80 – $969.34 |
| UPMC St. Margaret | Pittsburgh | $369.60 | $35.40 – $735.67 |
| UPMC Wellsboro | Wellsboro | $43.00 | $2.65 – $229.76 |
| UPMC Williamsport | Williamsport | $362.40 | $6.00 – $229.76 |