healthcosts.net
Target gsa panel organ/hmtlmph neop at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$5,739.00
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.
$9,565.00
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.
$1,618.00 with Cigna vs $16,642.51 with UPMC Health Plan — 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 |
|---|---|---|---|
| Cigna | Commercial | $1,618.00 | ↓ -72% |
| Aetna | EBR ASO | $1,618.00 | ↓ -72% |
| Aetna | EBR FI | $2,346.10 | ↓ -59% |
| Aetna | Neighborhood Network | $2,427.00 | ↓ -58% |
| Aetna | Home Depot Employer Group | $2,495.76 | ↓ -57% |
| Aetna | NBR ASO/FI | $2,548.35 | ↓ -56% |
| Cigna | New Business ASO | $2,548.35 | ↓ -56% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↓ -55% |
| InterGroup | PPO | $2,629.25 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $2,647.79 | ↓ -54% |
| United Healthcare Community Plan for Families | Unison Kids | $2,686.03 | ↓ -53% |
| Aetna | Medicaid | $2,802.82 | ↓ -51% |
| Coventry/First Health | Commercial | $2,831.50 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↓ -50% |
| Health Coalition Partners | PPO | $2,912.40 | ↓ -49% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,919.60 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $2,919.60 | ↓ -49% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,989.09 | ↓ -48% |
| Aetna | Medicare | $3,007.19 | ↓ -48% |
| United Healthcare | Unison Advantage Non Special Needs | $3,065.58 | ↓ -47% |
| Aetna of PA | Medicare | $3,065.58 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,152.88 | ↓ -45% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↓ -45% |
| United Healthcare | Unison Advantage Special Needs | $3,211.56 | ↓ -44% |
| Private Health Care Systems | PPO | $3,236.00 | ↓ -44% |
| Humana | Commercial | $3,438.25 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↓ -40% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,646.23 | ↓ -36% |
| PA Health & Wellness | PA Medicaid HMO | $3,980.47 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $4,805.53 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $5,920.78 | ↑ +3% |
| UPMC Health Plan | Commercial | $16,642.51 | ↑ +190% |
Visitor-reported prices
Comments
Target gsa panel organ/hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,669.40 | $1,375.30 – $3,438.25 |
| UPMC Mercy | Pittsburgh | $5,739.00 | $1,851.57 – $8,608.50 |
| UPMC Presbyterian | Pittsburgh | $9,920.40 | $1,869.20 – $3,635.95 |
| UPMC St. Margaret | Pittsburgh | $5,739.00 | $1,869.20 – $8,130.25 |
| UPMC Wellsboro | Wellsboro | $5,631.60 | $1,689.48 – $8,447.40 |
| UPMC Williamsport | Williamsport | $5,526.00 | $2,569.25 – $7,368.00 |