healthcosts.net
Spirometry bronchodilation responsiveness pre/post bronchodilator administration at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$281.40
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.
?
What you pay up front if you don't use insurance.
$469.00
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 $398.65 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 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $21.85 | ↓ -92% |
| Aetna | Medicaid | $22.80 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.18 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.66 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $32.38 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $127.22 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $143.04 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $156.74 | ↓ -44% |
| UPMC Health Plan | Commercial | $170.77 | ↓ -39% |
| Cigna | Commercial | $187.60 | ↓ -33% |
| Aetna | EBR ASO | $187.60 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $269.24 | ↓ -4% |
| Aetna | EBR FI | $272.02 | ↓ -3% |
| Aetna | Neighborhood Network | $281.40 | ↑ +0% |
| Aetna | Home Depot Employer Group | $289.37 | ↑ +3% |
| Aetna | NBR ASO/FI | $295.47 | ↑ +5% |
| Cigna | New Business ASO | $295.47 | ↑ +5% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $296.88 | ↑ +6% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $303.95 | ↑ +8% |
| InterGroup | PPO | $304.85 | ↑ +8% |
| Aetna | Medicare | $305.79 | ↑ +9% |
| United Healthcare | Unison Advantage Non Special Needs | $311.72 | ↑ +11% |
| Aetna of PA | Medicare | $311.72 | ↑ +11% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↑ +14% |
| AmeriHealth Caritas | Medicare | $320.63 | ↑ +14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↑ +14% |
| United Healthcare | Unison Advantage Special Needs | $326.57 | ↑ +16% |
| Coventry/First Health | Commercial | $328.30 | ↑ +17% |
| Health Coalition Partners | PPO | $337.68 | ↑ +20% |
| Private Health Care Systems | PPO | $375.20 | ↑ +33% |
| Humana | Commercial | $398.65 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Spirometry bronchodilation responsiveness pre/post bronchodilator administration at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $456.60 | $20.90 – $684.90 |
| UPMC Muncy | Muncy | $526.80 | $14.59 – $702.40 |
| UPMC Passavant-McCandless | Pittsburgh | $988.80 | $20.90 – $1,400.80 |
| UPMC Presbyterian | Pittsburgh | $1,790.40 | $13.68 – $2,536.40 |
| UPMC Somerset | Somerset | $650.40 | $13.11 – $458.25 |
| UPMC St. Margaret | Pittsburgh | $664.20 | $20.90 – $940.95 |
| UPMC Wellsboro | Wellsboro | $636.80 | $14.59 – $716.40 |
| UPMC Williamsport | Williamsport | $526.80 | $14.59 – $702.40 |