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Monitor reveal linq ii cardiac at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$15,190.20
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.
$25,317.00
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.
$3,704.00 with InterGroup vs $18,874.31 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 |
|---|---|---|---|
| InterGroup | PPO | $3,704.00 | ↓ -76% |
| Aetna | Medicare | $4,209.25 | ↓ -72% |
| PA Health & Wellness | PA Medicaid HMO | $5,556.21 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,695.96 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $6,122.28 | ↓ -60% |
| Aetna | EBR ASO | $6,734.80 | ↓ -56% |
| Cigna | Commercial | $6,734.80 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6,734.80 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $7,543.11 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,418.50 | ↓ -45% |
| Aetna | EBR FI | $9,765.46 | ↓ -36% |
| Aetna | Neighborhood Network | $10,102.20 | ↓ -33% |
| Aetna | Home Depot Employer Group | $10,388.43 | ↓ -32% |
| Aetna | NBR ASO/FI | $10,607.31 | ↓ -30% |
| Cigna | New Business ASO | $10,607.31 | ↓ -30% |
| Coventry/First Health | Commercial | $11,785.90 | ↓ -22% |
| Health Coalition Partners | PPO | $12,122.64 | ↓ -20% |
| Private Health Care Systems | PPO | $13,469.60 | ↓ -11% |
| Humana | Commercial | $14,311.45 | ↓ -6% |
| UPMC Health Plan | Commercial | $18,874.31 | ↑ +24% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Monitor reveal linq ii cardiac at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $12,370.80 | $2,358.91 – $12,316.42 |
| UPMC Passavant-McCandless | Pittsburgh | $14,856.60 | $2,381.37 – $22,633.86 |
| UPMC Presbyterian | Pittsburgh | $26,418.60 | $1,999.80 – $25,218.30 |
| UPMC Somerset | Somerset | $13,107.60 | $2,335.05 – $16,384.50 |
| UPMC Williamsport | Williamsport | $12,083.40 | $2,406.80 – $10,830.60 |