Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$859.80
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.
$1,433.00
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.
$189.47 with UPMC Health Plan vs $1,149.20 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 Medicare | $189.47 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $206.48 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $208.92 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $208.92 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $213.89 | ↓ -75% |
| Aetna | Medicare | $215.19 | ↓ -75% |
| Aetna of PA | Medicare | $219.37 | ↓ -74% |
| United Healthcare | Unison Advantage Non Special Needs | $219.37 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $225.61 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $225.63 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $225.63 | ↓ -74% |
| United Healthcare | Unison Advantage Special Needs | $229.81 | ↓ -73% |
| UPMC Health Plan | Commercial | $279.86 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $509.64 | ↓ -41% |
| Aetna | EBR ASO | $540.80 | ↓ -37% |
| Cigna | Commercial | $540.80 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $627.91 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $743.60 | ↓ -14% |
| Aetna | EBR FI | $784.16 | ↓ -9% |
| Aetna | Neighborhood Network | $811.20 | ↓ -6% |
| Aetna | Home Depot Employer Group | $834.18 | ↓ -3% |
| Aetna | NBR ASO/FI | $851.76 | ↓ -1% |
| Cigna | New Business ASO | $851.76 | ↓ -1% |
| InterGroup | PPO | $878.80 | ↑ +2% |
| Coventry/First Health | Commercial | $946.40 | ↑ +10% |
| Health Coalition Partners | PPO | $973.44 | ↑ +13% |
| Private Health Care Systems | PPO | $1,081.60 | ↑ +26% |
| Humana | Commercial | $1,149.20 | ↑ +34% |
Visitor-reported prices
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Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $732.60 | $196.36 – $517.60 |
| UPMC Bedford | Everett | $1,288.20 | $75.38 – $627.30 |
| UPMC Carlisle | Carlisle | $1,206.60 | $114.91 – $1,709.35 |
| UPMC Cole | Coudersport | $940.80 | $53.00 – $1,254.40 |
| UPMC Community Osteopathic | Harrisburg | $1,206.60 | $166.95 – $1,709.35 |
| UPMC East | Monroeville | $859.80 | $198.23 – $1,146.40 |
| UPMC Hamot | Erie | $886.80 | $196.36 – $225.63 |
| UPMC Horizon-Greenville | Greenville | $859.80 | $187.05 – $317.51 |