healthcosts.net

Mpl gene analysis common variants at UPMC Northwest

100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$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.

Full explanation →

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$136.33 with UPMC Health Plan vs $1,739.10 with Humana — same scan, same building. Share

Negotiated rates by payer
?

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 $136.33 ↓ -89%
UPMC Work Partners Workers Comp $148.57 ↓ -88%
Geisinger Medicaid/CHIP $150.33 ↓ -88%
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 ↓ -88%
UPMC Health Plan EPO Partners/EPO Select Plan/HMO $153.91 ↓ -87%
Aetna Medicare $154.84 ↓ -87%
Aetna of PA Medicare $157.85 ↓ -87%
United Healthcare Unison Advantage Non Special Needs $157.85 ↓ -87%
Highmark Wholecare (prev Gateway) Medicare $162.34 ↓ -87%
AmeriHealth Caritas Medicare $162.36 ↓ -87%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $162.36 ↓ -87%
United Healthcare Unison Advantage Special Needs $165.36 ↓ -87%
Highmark BCBS of PA Commercial - Social Mission Indemnity/Managed Care - Social Mission $291.24 ↓ -76%
Highmark BCBS of PA Commercial - Indemnity/Managed Care $358.83 ↓ -71%
Aetna EBR ASO $818.40 ↓ -33%
Cigna Commercial $818.40 ↓ -33%
PA Health & Wellness PA Medicaid HMO $1,125.30 ↓ -8%
Aetna EBR FI $1,186.68 ↓ -3%
Aetna Neighborhood Network $1,227.60 ↑ +0%
Aetna Home Depot Employer Group $1,262.38 ↑ +3%
Aetna NBR ASO/FI $1,288.98 ↑ +5%
Cigna New Business ASO $1,288.98 ↑ +5%
InterGroup PPO $1,329.90 ↑ +8%
Coventry/First Health Commercial $1,432.20 ↑ +17%
Health Coalition Partners PPO $1,473.12 ↑ +20%
UPMC Health Plan Commercial $1,560.48 ↑ +27%
Private Health Care Systems PPO $1,636.80 ↑ +33%
Humana Commercial $1,739.10 ↑ +42%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Mpl gene analysis common variants at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Passavant-McCandless Pittsburgh $1,227.60 $113.28 – $1,739.10
UPMC Mercy Pittsburgh $1,227.60 $112.22 – $1,841.40
UPMC Muncy Muncy $1,011.00 $117.38 – $1,348.00
UPMC Presbyterian Pittsburgh $1,227.60 $110.04 – $1,739.10
UPMC St. Margaret Pittsburgh $1,227.60 $113.28 – $1,739.10
UPMC Wellsboro Wellsboro $1,223.20 $117.38 – $1,376.10
UPMC Williamsport Williamsport $1,170.00 $117.38 – $1,560.00

All Pennsylvania hospitals for this procedure →