healthcosts.net
Mopath procedure level 3 at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$2,046.60
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.
$3,411.00
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.
$101.16 with UPMC Health Plan vs $1,739.10 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 | Commercial | $101.16 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $136.33 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $148.57 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $150.33 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $150.33 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.91 | ↓ -92% |
| Aetna | Medicare | $154.84 | ↓ -92% |
| Aetna of PA | Medicare | $157.85 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $157.85 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $162.34 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $162.36 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $162.36 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $165.36 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $809.90 | ↓ -60% |
| Aetna | EBR ASO | $818.40 | ↓ -60% |
| Cigna | Commercial | $818.40 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $997.86 | ↓ -51% |
| PA Health & Wellness | PA Medicaid HMO | $1,125.30 | ↓ -45% |
| Aetna | EBR FI | $1,186.68 | ↓ -42% |
| Aetna | Neighborhood Network | $1,227.60 | ↓ -40% |
| Aetna | Home Depot Employer Group | $1,262.38 | ↓ -38% |
| Aetna | NBR ASO/FI | $1,288.98 | ↓ -37% |
| Cigna | New Business ASO | $1,288.98 | ↓ -37% |
| InterGroup | PPO | $1,329.90 | ↓ -35% |
| Coventry/First Health | Commercial | $1,432.20 | ↓ -30% |
| Health Coalition Partners | PPO | $1,473.12 | ↓ -28% |
| Private Health Care Systems | PPO | $1,636.80 | ↓ -20% |
| Humana | Commercial | $1,739.10 | ↓ -15% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,169.60 | $101.11 – $556.75 |
| UPMC Mercy | Pittsburgh | $2,046.60 | $100.52 – $624.60 |
| UPMC Muncy | Muncy | $1,052.40 | $117.38 – $779.20 |
| UPMC Presbyterian | Pittsburgh | $2,046.60 | $106.69 – $589.90 |
| UPMC St. Margaret | Pittsburgh | $2,046.60 | $101.36 – $1,739.10 |
| UPMC Wellsboro | Wellsboro | $1,211.20 | $117.38 – $835.20 |
| UPMC Williamsport | Williamsport | $1,314.60 | $117.38 – $535.20 |