Neg pres wound ther drsg set at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$102.60
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.
$171.00
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.
$35.75 with Aetna vs $160.06 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 |
|---|---|---|---|
| Aetna | Medicare | $35.75 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $52.06 | ↓ -49% |
| Cigna | Commercial | $57.20 | ↓ -44% |
| Aetna | EBR ASO | $57.20 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $71.50 | ↓ -30% |
| PA Health & Wellness | PA Medicaid HMO | $78.65 | ↓ -23% |
| Aetna | EBR FI | $82.94 | ↓ -19% |
| Aetna | Neighborhood Network | $85.80 | ↓ -16% |
| Aetna | Home Depot Employer Group | $88.23 | ↓ -14% |
| Cigna | New Business ASO | $90.09 | ↓ -12% |
| Aetna | NBR ASO/FI | $90.09 | ↓ -12% |
| InterGroup | PPO | $92.95 | ↓ -9% |
| Coventry/First Health | Commercial | $100.10 | ↓ -2% |
| Health Coalition Partners | PPO | $102.96 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $105.85 | ↑ +3% |
| Private Health Care Systems | PPO | $114.40 | ↑ +12% |
| Humana | Commercial | $121.55 | ↑ +18% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $130.41 | ↑ +27% |
| UPMC Health Plan | Commercial | $160.06 | ↑ +56% |
Visitor-reported prices
Comments
Neg pres wound ther drsg set at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,196.00 | $40.78 – $132.27 |
| UPMC East | Monroeville | $1,288.80 | $36.50 – $132.27 |
| UPMC Hamot | Erie | $1,615.20 | $40.78 – $52.06 |
| UPMC Horizon-Greenville | Greenville | $1,939.20 | $52.06 – $132.27 |
| UPMC Jameson | New Castle | $1,627.80 | $19.09 – $132.27 |
| UPMC Magee | Pittsburgh | $1,406.40 | $21.00 – $132.27 |
| UPMC McKeesport | Mckeesport | $108.60 | $21.00 – $132.27 |
| UPMC Mercy | Pittsburgh | $1,422.00 | $40.78 – $104.45 |