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Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$269.40
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.
$449.00
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.
$34.69 with UPMC Health Plan vs $381.65 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 Medicaid | $34.69 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $36.27 | ↓ -87% |
| Aetna | Medicaid | $37.85 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.77 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.24 | ↓ -82% |
| PA Health & Wellness | PA Medicaid HMO | $53.75 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $84.90 | ↓ -68% |
| UPMC Health Plan | Commercial | $108.36 | ↓ -60% |
| Aetna | Medicare | $112.25 | ↓ -58% |
| Aetna | EBR ASO | $179.60 | ↓ -33% |
| Cigna | Commercial | $179.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $222.26 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $224.50 | ↓ -17% |
| Aetna | EBR FI | $260.42 | ↓ -3% |
| Aetna | Neighborhood Network | $269.40 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $273.84 | ↑ +2% |
| Aetna | Home Depot Employer Group | $277.03 | ↑ +3% |
| Aetna | NBR ASO/FI | $282.87 | ↑ +5% |
| Cigna | New Business ASO | $282.87 | ↑ +5% |
| InterGroup | PPO | $291.85 | ↑ +8% |
| Coventry/First Health | Commercial | $314.30 | ↑ +17% |
| Health Coalition Partners | PPO | $323.28 | ↑ +20% |
| Private Health Care Systems | PPO | $359.20 | ↑ +33% |
| Humana | Commercial | $381.65 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $231.60 | $34.69 – $347.40 |
| UPMC Muncy | Muncy | $589.80 | $34.69 – $786.40 |
| UPMC Passavant-McCandless | Pittsburgh | $229.80 | $34.69 – $325.55 |
| UPMC Presbyterian | Pittsburgh | $592.20 | $34.69 – $838.95 |
| UPMC Somerset | Somerset | $378.60 | $34.69 – $473.25 |
| UPMC St. Margaret | Pittsburgh | $441.60 | $34.69 – $625.60 |
| UPMC Wellsboro | Wellsboro | $589.80 | $11.61 – $74.04 |
| UPMC Williamsport | Williamsport | $429.00 | $34.69 – $572.00 |