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Implant ureth bulk agent at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,360.20
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.
$2,267.00
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.
$484.25 with Aetna vs $2,073.68 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 | $484.25 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $639.21 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $655.29 | ↓ -52% |
| Aetna | EBR ASO | $774.80 | ↓ -43% |
| Cigna | Commercial | $774.80 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicaid | $774.80 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $804.45 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $968.50 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $991.15 | ↓ -27% |
| Aetna | EBR FI | $1,123.46 | ↓ -17% |
| Aetna | Neighborhood Network | $1,162.20 | ↓ -15% |
| Aetna | Home Depot Employer Group | $1,195.13 | ↓ -12% |
| Aetna | NBR ASO/FI | $1,220.31 | ↓ -10% |
| Cigna | New Business ASO | $1,220.31 | ↓ -10% |
| InterGroup | PPO | $1,259.05 | ↓ -7% |
| Coventry/First Health | Commercial | $1,355.90 | ↓ -0% |
| Health Coalition Partners | PPO | $1,394.64 | ↑ +3% |
| Private Health Care Systems | PPO | $1,549.60 | ↑ +14% |
| Humana | Commercial | $1,646.45 | ↑ +21% |
| UPMC Health Plan | Commercial | $2,073.68 | ↑ +52% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Implant ureth bulk agent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,617.00 | $309.95 – $2,425.50 |
| UPMC Muncy | Muncy | $1,094.40 | $258.15 – $1,548.90 |
| UPMC Passavant-McCandless | Pittsburgh | $2,887.20 | $312.91 – $2,486.73 |
| UPMC Presbyterian | Pittsburgh | $3,211.80 | $312.91 – $4,550.05 |
| UPMC Wellsboro | Wellsboro | $1,323.20 | $280.98 – $1,404.90 |
| UPMC Williamsport | Williamsport | $1,032.60 | $344.20 – $1,548.90 |