Removal tunnled intprtnl cath at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$3,192.00
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.
$5,320.00
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.
$266.92 with UPMC Health Plan vs $4,522.00 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 | Commercial | $266.92 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $368.41 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $385.16 | ↓ -88% |
| Aetna | Medicaid | $401.90 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $496.69 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $522.84 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $570.77 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $898.39 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,521.39 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,874.47 | ↓ -41% |
| Aetna | EBR ASO | $2,128.00 | ↓ -33% |
| Cigna | Commercial | $2,128.00 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $2,721.39 | ↓ -15% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,000.76 | ↓ -6% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,072.18 | ↓ -4% |
| Aetna | EBR FI | $3,085.60 | ↓ -3% |
| Aetna | Medicare | $3,090.78 | ↓ -3% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -1% |
| United Healthcare | Unison Advantage Non Special Needs | $3,150.80 | ↓ -1% |
| Aetna | Neighborhood Network | $3,192.00 | ↑ +0% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +2% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↑ +2% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↑ +2% |
| Aetna | Home Depot Employer Group | $3,282.44 | ↑ +3% |
| United Healthcare | Unison Advantage Special Needs | $3,300.84 | ↑ +3% |
| Aetna | NBR ASO/FI | $3,351.60 | ↑ +5% |
| Cigna | New Business ASO | $3,351.60 | ↑ +5% |
| InterGroup | PPO | $3,458.00 | ↑ +8% |
| Coventry/First Health | Commercial | $3,724.00 | ↑ +17% |
| Health Coalition Partners | PPO | $3,830.40 | ↑ +20% |
| Private Health Care Systems | PPO | $4,256.00 | ↑ +33% |
| Humana | Commercial | $4,522.00 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal tunnled intprtnl cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,356.80 | $334.92 – $7,142.40 |
| UPMC Carlisle | Carlisle | $10,505.40 | $425.35 – $14,882.65 |
| UPMC Cole | Coudersport | $619.20 | $286.07 – $888.04 |
| UPMC Community Osteopathic | Harrisburg | $10,505.40 | $425.35 – $6,225.40 |
| UPMC Hamot | Erie | $2,014.80 | $368.41 – $4,364.40 |
| UPMC Hanover | Hanover | $10,505.40 | $425.35 – $4,810.90 |
| UPMC Lititz | Lititz | $10,505.40 | $425.35 – $4,836.88 |
| UPMC Magee | Pittsburgh | $3,558.60 | $349.84 – $3,240.82 |