healthcosts.net
Stent iliac/open/perc/ea ad/ipsila 37223 at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$16,307.40
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.
$27,179.00
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.
$3,704.00 with InterGroup vs $23,102.15 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 |
|---|---|---|---|
| InterGroup | PPO | $3,704.00 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $3,788.30 | ↓ -77% |
| UPMC Health Plan | Commercial | $4,130.66 | ↓ -75% |
| Aetna | Medicare | $6,794.75 | ↓ -58% |
| Aetna | EBR ASO | $10,871.60 | ↓ -33% |
| Cigna | Commercial | $10,871.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $11,976.81 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,589.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $14,756.33 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $14,948.45 | ↓ -8% |
| Aetna | EBR FI | $15,763.82 | ↓ -3% |
| Aetna | Neighborhood Network | $16,307.40 | ↑ +0% |
| Aetna | Home Depot Employer Group | $16,769.44 | ↑ +3% |
| Aetna | NBR ASO/FI | $17,122.77 | ↑ +5% |
| Cigna | New Business ASO | $17,122.77 | ↑ +5% |
| Coventry/First Health | Commercial | $19,025.30 | ↑ +17% |
| Health Coalition Partners | PPO | $19,568.88 | ↑ +20% |
| Private Health Care Systems | PPO | $21,743.20 | ↑ +33% |
| Humana | Commercial | $23,102.15 | ↑ +42% |
Visitor-reported prices
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Stent iliac/open/perc/ea ad/ipsila 37223 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $18,360.00 | $3,788.30 – $26,010.00 |
| UPMC Mercy | Pittsburgh | $16,416.00 | $198.55 – $24,624.00 |
| UPMC Presbyterian | Pittsburgh | $24,101.40 | $198.55 – $34,143.65 |
| UPMC Somerset | Somerset | $8,640.60 | $207.57 – $10,800.75 |
| UPMC St. Margaret | Pittsburgh | $16,830.00 | $3,788.30 – $23,842.50 |
| UPMC Williamsport | Williamsport | $7,915.20 | $231.04 – $10,553.60 |