healthcosts.net
Screening hepatitis b non-obstetric high risk at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$70.20
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.
$117.00
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.
$20.90 with UPMC Health Plan vs $99.45 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 | Managed Medicaid | $20.90 | ↓ -70% |
| United Healthcare Community Plan for Families | Unison Kids | $21.85 | ↓ -69% |
| Aetna | Medicaid | $22.80 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $25.64 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.18 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $28.27 | ↓ -60% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $28.94 | ↓ -59% |
| Aetna | Medicare | $29.12 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $29.28 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.66 | ↓ -58% |
| Aetna of PA | Medicare | $29.68 | ↓ -58% |
| United Healthcare | Unison Advantage Non Special Needs | $29.68 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $30.53 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.53 | ↓ -57% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.53 | ↓ -57% |
| United Healthcare | Unison Advantage Special Needs | $31.10 | ↓ -56% |
| PA Health & Wellness | PA Medicaid HMO | $32.38 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $36.08 | ↓ -49% |
| Aetna | EBR ASO | $46.80 | ↓ -33% |
| Cigna | Commercial | $46.80 | ↓ -33% |
| Aetna | EBR FI | $67.86 | ↓ -3% |
| Aetna | Neighborhood Network | $70.20 | ↑ +0% |
| Aetna | Home Depot Employer Group | $72.19 | ↑ +3% |
| Aetna | NBR ASO/FI | $73.71 | ↑ +5% |
| Cigna | New Business ASO | $73.71 | ↑ +5% |
| InterGroup | PPO | $76.05 | ↑ +8% |
| Coventry/First Health | Commercial | $81.90 | ↑ +17% |
| Health Coalition Partners | PPO | $84.24 | ↑ +20% |
| UPMC Health Plan | Commercial | $89.24 | ↑ +27% |
| Private Health Care Systems | PPO | $93.60 | ↑ +33% |
| Humana | Commercial | $99.45 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Screening hepatitis b non-obstetric high risk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $42.60 | $11.28 – $63.90 |
| UPMC Muncy | Muncy | $142.20 | $20.90 – $213.30 |
| UPMC Passavant-McCandless | Pittsburgh | $50.40 | $11.39 – $71.40 |
| UPMC Presbyterian | Pittsburgh | $63.00 | $11.39 – $89.25 |
| UPMC Somerset | Somerset | $60.00 | $11.17 – $75.00 |
| UPMC St. Margaret | Pittsburgh | $50.40 | $11.39 – $71.40 |
| UPMC Wellsboro | Wellsboro | $172.00 | $19.00 – $193.50 |
| UPMC Williamsport | Williamsport | $142.20 | $20.90 – $213.30 |