healthcosts.net
Pet CT skull-mid thgh initial at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$10,513.20
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.
?
What you pay up front if you don't use insurance.
$17,522.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$777.40 with UPMC Health Plan vs $14,893.70 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 →
?
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 | $777.40 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $1,261.13 | ↓ -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 | $1,390.59 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,423.69 | ↓ -86% |
| Aetna | Medicare | $1,432.31 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $1,437.96 | ↓ -86% |
| United Healthcare | Unison Advantage Non Special Needs | $1,460.12 | ↓ -86% |
| Aetna of PA | Medicare | $1,460.12 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,501.70 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $1,501.84 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,501.84 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison Kids | $1,503.33 | ↓ -86% |
| United Healthcare | Unison Advantage Special Needs | $1,529.65 | ↓ -85% |
| Aetna | Medicaid | $1,568.69 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,938.64 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,040.73 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $2,227.80 | ↓ -79% |
| InterGroup | PPO | $3,704.00 | ↓ -65% |
| Cigna | Commercial | $7,008.80 | ↓ -33% |
| Aetna | EBR ASO | $7,008.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $8,693.39 | ↓ -17% |
| Aetna | EBR FI | $10,162.76 | ↓ -3% |
| Aetna | Neighborhood Network | $10,513.20 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $10,710.91 | ↑ +2% |
| Aetna | Home Depot Employer Group | $10,811.07 | ↑ +3% |
| Aetna | NBR ASO/FI | $11,038.86 | ↑ +5% |
| Cigna | New Business ASO | $11,038.86 | ↑ +5% |
| Coventry/First Health | Commercial | $12,265.40 | ↑ +17% |
| Health Coalition Partners | PPO | $12,615.84 | ↑ +20% |
| Private Health Care Systems | PPO | $14,017.60 | ↑ +33% |
| Humana | Commercial | $14,893.70 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pet CT skull-mid thgh initial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,008.80 | $777.05 – $11,345.80 |
| UPMC Presbyterian | Pittsburgh | $12,570.60 | $1,437.96 – $17,808.35 |
| UPMC Somerset | Somerset | $5,639.40 | $185.48 – $1,501.70 |
| UPMC Williamsport | Williamsport | $6,981.60 | $1,404.22 – $10,472.40 |