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Pelvic MRI (without contrast) at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$2,205.00
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.
$3,675.00
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.
$209.00 with UPMC Health Plan vs $3,123.75 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 | $209.00 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $230.45 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $235.93 | ↓ -89% |
| Aetna | Medicare | $237.36 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $241.97 | ↓ -89% |
| Aetna of PA | Medicare | $241.97 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $253.50 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $361.54 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $377.97 | ↓ -83% |
| Aetna | Medicaid | $394.40 | ↓ -82% |
| UPMC Health Plan | Commercial | $432.05 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $487.42 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $513.09 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $560.12 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $941.15 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,172.21 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,444.25 | ↓ -35% |
| Cigna | Commercial | $1,470.00 | ↓ -33% |
| Aetna | EBR ASO | $1,470.00 | ↓ -33% |
| Aetna | EBR FI | $2,131.50 | ↓ -3% |
| Aetna | Neighborhood Network | $2,205.00 | ↑ +0% |
| Aetna | Home Depot Employer Group | $2,267.47 | ↑ +3% |
| Aetna | NBR ASO/FI | $2,315.25 | ↑ +5% |
| Cigna | New Business ASO | $2,315.25 | ↑ +5% |
| InterGroup | PPO | $2,388.75 | ↑ +8% |
| Coventry/First Health | Commercial | $2,572.50 | ↑ +17% |
| Health Coalition Partners | PPO | $2,646.00 | ↑ +20% |
| Private Health Care Systems | PPO | $2,940.00 | ↑ +33% |
| Humana | Commercial | $3,123.75 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Passavant-McCandless | Pittsburgh | $3,801.60 | $214.16 – $5,385.60 |
| UPMC Hamot | Erie | $2,045.40 | $180.32 – $2,386.30 |
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Altoona | Altoona | $1,699.20 | $261.12 – $2,265.60 |
| UPMC Cole | Coudersport | $1,230.00 | $284.41 – $1,640.00 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $184.20 – $1,556.13 |