healthcosts.net
Pmp22 gene dup/delet at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$2,663.40
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.
$4,439.00
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.
$687.76 with UPMC Health Plan vs $1,741.65 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 | $687.76 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $696.55 | ↓ -74% |
| United Healthcare Community Plan for Families | Unison Kids | $728.21 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $749.51 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $758.36 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $758.36 | ↓ -72% |
| Aetna | Medicaid | $759.88 | ↓ -71% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $776.41 | ↓ -71% |
| Aetna | Medicare | $781.11 | ↓ -71% |
| United Healthcare | Unison Advantage Non Special Needs | $796.28 | ↓ -70% |
| Aetna of PA | Medicare | $796.28 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $818.95 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $819.03 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $819.03 | ↓ -69% |
| Cigna | Commercial | $819.60 | ↓ -69% |
| Aetna | EBR ASO | $819.60 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $834.20 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $939.08 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $988.54 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $1,079.15 | ↓ -59% |
| Aetna | EBR FI | $1,188.42 | ↓ -55% |
| Aetna | Neighborhood Network | $1,229.40 | ↓ -54% |
| Aetna | Home Depot Employer Group | $1,264.23 | ↓ -53% |
| Aetna | NBR ASO/FI | $1,290.87 | ↓ -52% |
| Cigna | New Business ASO | $1,290.87 | ↓ -52% |
| InterGroup | PPO | $1,331.85 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,409.18 | ↓ -47% |
| Coventry/First Health | Commercial | $1,434.30 | ↓ -46% |
| Health Coalition Partners | PPO | $1,475.28 | ↓ -45% |
| UPMC Health Plan | Commercial | $1,562.77 | ↓ -41% |
| Private Health Care Systems | PPO | $1,639.20 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,736.21 | ↓ -35% |
| Humana | Commercial | $1,741.65 | ↓ -35% |
Visitor-reported prices
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Pmp22 gene dup/delet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,533.00 | $548.13 – $6,421.75 |
| UPMC Presbyterian | Pittsburgh | $4,533.00 | $548.13 – $3,773.15 |
| UPMC St. Margaret | Pittsburgh | $2,663.40 | $548.13 – $3,773.15 |