healthcosts.net
Mayo analysis gene calr common variants exon 9 at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,227.60
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.
$2,046.00
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.
$110.31 with UPMC Health Plan vs $907.08 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $110.31 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $120.21 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $121.63 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $121.63 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $124.52 | ↓ -90% |
| Aetna | Medicare | $125.28 | ↓ -90% |
| Aetna of PA | Medicare | $127.71 | ↓ -90% |
| United Healthcare | Unison Advantage Non Special Needs | $127.71 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $131.35 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $131.36 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $131.36 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $133.79 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $300.51 | ↓ -76% |
| Aetna | EBR ASO | $342.00 | ↓ -72% |
| Cigna | Commercial | $342.00 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $370.25 | ↓ -70% |
| PA Health & Wellness | PA Medicaid HMO | $470.25 | ↓ -62% |
| Aetna | EBR FI | $495.90 | ↓ -60% |
| Aetna | Neighborhood Network | $513.00 | ↓ -58% |
| Aetna | Home Depot Employer Group | $527.53 | ↓ -57% |
| Aetna | NBR ASO/FI | $538.65 | ↓ -56% |
| Cigna | New Business ASO | $538.65 | ↓ -56% |
| InterGroup | PPO | $555.75 | ↓ -55% |
| Coventry/First Health | Commercial | $598.50 | ↓ -51% |
| Health Coalition Partners | PPO | $615.60 | ↓ -50% |
| Private Health Care Systems | PPO | $684.00 | ↓ -44% |
| Humana | Commercial | $726.75 | ↓ -41% |
| UPMC Health Plan | Commercial | $907.08 | ↓ -26% |
Visitor-reported prices
Comments
Mayo analysis gene calr common variants exon 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,227.60 | $113.03 – $304.30 |
| UPMC Mercy | Pittsburgh | $1,227.60 | $101.39 – $341.10 |
| UPMC Muncy | Muncy | $1,052.40 | $94.96 – $907.20 |
| UPMC Presbyterian | Pittsburgh | $1,227.60 | $68.22 – $617.54 |
| UPMC St. Margaret | Pittsburgh | $876.00 | $105.02 – $726.75 |
| UPMC Wellsboro | Wellsboro | $864.00 | $94.96 – $972.00 |
| UPMC Williamsport | Williamsport | $1,160.40 | $94.96 – $671.20 |