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Immobilizer shldr dlx str 24-36in med at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$94.80
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.
$158.00
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.
$39.50 with Aetna vs $506.41 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 | $39.50 | ↓ -58% |
| Aetna | EBR ASO | $63.20 | ↓ -33% |
| Cigna | Commercial | $63.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $63.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $79.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $86.90 | ↓ -8% |
| Aetna | EBR FI | $91.64 | ↓ -3% |
| Aetna | Neighborhood Network | $94.80 | ↑ +0% |
| Aetna | Home Depot Employer Group | $97.49 | ↑ +3% |
| Aetna | NBR ASO/FI | $99.54 | ↑ +5% |
| Cigna | New Business ASO | $99.54 | ↑ +5% |
| InterGroup | PPO | $102.70 | ↑ +8% |
| Coventry/First Health | Commercial | $110.60 | ↑ +17% |
| Health Coalition Partners | PPO | $113.76 | ↑ +20% |
| Private Health Care Systems | PPO | $126.40 | ↑ +33% |
| Humana | Commercial | $134.30 | ↑ +42% |
| UPMC Work Partners | Workers Comp | $160.53 | ↑ +69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $291.73 | ↑ +208% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $359.43 | ↑ +279% |
| UPMC Health Plan | Commercial | $506.41 | ↑ +434% |
Visitor-reported prices
Comments
Immobilizer shldr dlx str 24-36in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $273.00 | $11.04 – $330.46 |
| UPMC Muncy | Muncy | $198.00 | $7.95 – $160.53 |
| UPMC Passavant-McCandless | Pittsburgh | $499.80 | $5.06 – $607.28 |
| UPMC Presbyterian | Pittsburgh | $760.80 | $3.72 – $676.62 |
| UPMC St. Margaret | Pittsburgh | $421.80 | $37.20 – $513.51 |
| UPMC Wellsboro | Wellsboro | $239.20 | $8.78 – $160.53 |
| UPMC Williamsport | Williamsport | $198.00 | $7.20 – $160.53 |