healthcosts.net
Trg gene rearrangement anal at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,051.20
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.
$1,752.00
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.
$182.74 with UPMC Health Plan vs $814.55 with Highmark BCBS of PA — 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 Medicare | $182.74 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $199.14 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $201.50 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $201.50 | ↓ -81% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $206.30 | ↓ -80% |
| Aetna | Medicare | $207.54 | ↓ -80% |
| Aetna | EBR ASO | $208.80 | ↓ -80% |
| Cigna | Commercial | $208.80 | ↓ -80% |
| Aetna of PA | Medicare | $211.57 | ↓ -80% |
| United Healthcare | Unison Advantage Non Special Needs | $211.57 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $217.60 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $217.62 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $217.62 | ↓ -79% |
| United Healthcare | Unison Advantage Special Needs | $221.65 | ↓ -79% |
| UPMC Health Plan | Commercial | $255.06 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $287.10 | ↓ -73% |
| Aetna | EBR FI | $302.76 | ↓ -71% |
| Aetna | Neighborhood Network | $313.20 | ↓ -70% |
| Aetna | Home Depot Employer Group | $322.07 | ↓ -69% |
| Aetna | NBR ASO/FI | $328.86 | ↓ -69% |
| Cigna | New Business ASO | $328.86 | ↓ -69% |
| InterGroup | PPO | $339.30 | ↓ -68% |
| Coventry/First Health | Commercial | $365.40 | ↓ -65% |
| Health Coalition Partners | PPO | $375.84 | ↓ -64% |
| Private Health Care Systems | PPO | $417.60 | ↓ -60% |
| Humana | Commercial | $443.70 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $661.12 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $814.55 | ↓ -23% |
Visitor-reported prices
Comments
Trg gene rearrangement anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,181.40 | $187.25 – $629.85 |
| UPMC Mercy | Pittsburgh | $1,114.80 | $167.97 – $1,671.30 |
| UPMC Presbyterian | Pittsburgh | $1,671.60 | $93.96 – $443.70 |
| UPMC St. Margaret | Pittsburgh | $1,114.20 | $173.98 – $592.45 |
| UPMC Wellsboro | Wellsboro | $636.00 | $143.10 – $715.50 |
| UPMC Williamsport | Williamsport | $781.20 | $157.34 – $944.80 |