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Leg Vein Ultrasound (DVT study, both legs) at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$505.80
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.
$843.00
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.
$161.33 with UPMC Health Plan vs $716.55 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $161.33 | ↓ -68% |
| United Healthcare Community Plan for Families | Unison Kids | $168.66 | ↓ -67% |
| Aetna | Medicaid | $175.99 | ↓ -65% |
| UPMC Health Plan | Managed Medicare | $209.00 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $217.50 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $228.95 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $230.45 | ↓ -54% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $235.93 | ↓ -53% |
| Aetna | Medicare | $237.36 | ↓ -53% |
| United Healthcare | Unison Advantage Non Special Needs | $241.97 | ↓ -52% |
| Aetna of PA | Medicare | $241.97 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -51% |
| PA Health & Wellness | PA Medicaid HMO | $249.94 | ↓ -51% |
| United Healthcare | Unison Advantage Special Needs | $253.50 | ↓ -50% |
| Cigna | Commercial | $337.20 | ↓ -33% |
| Aetna | EBR ASO | $337.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $409.97 | ↓ -19% |
| UPMC Work Partners | Workers Comp | $422.38 | ↓ -16% |
| Aetna | EBR FI | $488.94 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $505.11 | ↓ -0% |
| Aetna | Neighborhood Network | $505.80 | ↑ +0% |
| Aetna | Home Depot Employer Group | $520.13 | ↑ +3% |
| Aetna | NBR ASO/FI | $531.09 | ↑ +5% |
| Cigna | New Business ASO | $531.09 | ↑ +5% |
| InterGroup | PPO | $547.95 | ↑ +8% |
| UPMC Health Plan | Commercial | $579.93 | ↑ +15% |
| Coventry/First Health | Commercial | $590.10 | ↑ +17% |
| Health Coalition Partners | PPO | $606.96 | ↑ +20% |
| Private Health Care Systems | PPO | $674.40 | ↑ +33% |
| Humana | Commercial | $716.55 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Leg Vein Ultrasound (DVT study, both legs) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $817.80 | $159.46 – $1,090.40 |
| UPMC Passavant-McCandless | Pittsburgh | $2,092.20 | $159.46 – $2,963.95 |
| UPMC Hamot | Erie | $1,021.80 | $84.33 – $1,192.10 |
| UPMC Carlisle | Carlisle | $819.60 | $149.60 – $1,161.10 |
| UPMC Altoona | Altoona | $1,053.00 | $114.20 – $1,404.00 |
| UPMC Bedford | Everett | $466.80 | $83.15 – $700.20 |
| UPMC Cole | Coudersport | $495.00 | $153.99 – $660.00 |
| UPMC Community Osteopathic | Harrisburg | $819.60 | $27.00 – $479.25 |