Left compres band >=5"/yd at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$12.60
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.
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What you pay up front if you don't use insurance.
$21.00
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.
$5.25 with Aetna vs $17.85 with Humana — 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 | $5.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $7.62 | ↓ -40% |
| Cigna | Commercial | $8.40 | ↓ -33% |
| Aetna | EBR ASO | $8.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $9.39 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $10.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $11.55 | ↓ -8% |
| Aetna | EBR FI | $12.18 | ↓ -3% |
| Aetna | Neighborhood Network | $12.60 | ↑ +0% |
| Aetna | Home Depot Employer Group | $12.96 | ↑ +3% |
| Cigna | New Business ASO | $13.23 | ↑ +5% |
| Aetna | NBR ASO/FI | $13.23 | ↑ +5% |
| InterGroup | PPO | $13.65 | ↑ +8% |
| Coventry/First Health | Commercial | $14.70 | ↑ +17% |
| Health Coalition Partners | PPO | $15.12 | ↑ +20% |
| Private Health Care Systems | PPO | $16.80 | ↑ +33% |
| UPMC Health Plan | Commercial | $17.55 | ↑ +39% |
| Humana | Commercial | $17.85 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Left compres band >=5"/yd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $12.00 | $2.94 – $2.94 |
| UPMC Horizon-Greenville | Greenville | $3.60 | $7.48 – $14.50 |
| UPMC Jameson | New Castle | $3.60 | $1.50 – $14.50 |
| UPMC Kane | Kane | $4.20 | $10.06 – $10.68 |
| UPMC McKeesport | Mckeesport | $3.60 | $1.65 – $14.50 |
| UPMC Presbyterian | Pittsburgh | $5.40 | $2.96 – $23.45 |
| UPMC St. Margaret | Pittsburgh | $3.60 | $2.96 – $17.80 |