healthcosts.net
Ultrasound ob >=14wks ea addl gest at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$1,906.20
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.
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What you pay up front if you don't use insurance.
$3,177.00
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.
$81.52 with UPMC Health Plan vs $2,700.45 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $81.52 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $85.23 | ↓ -96% |
| Aetna | Medicaid | $88.93 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $109.91 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $115.69 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $126.30 | ↓ -93% |
| UPMC Health Plan | Commercial | $594.61 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $610.55 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $781.30 | ↓ -59% |
| Aetna | Medicare | $794.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $962.61 | ↓ -50% |
| Aetna | EBR ASO | $1,270.80 | ↓ -33% |
| Cigna | Commercial | $1,270.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,588.50 | ↓ -17% |
| Aetna | EBR FI | $1,842.66 | ↓ -3% |
| Aetna | Neighborhood Network | $1,906.20 | ↑ +0% |
| Aetna | Home Depot Employer Group | $1,960.21 | ↑ +3% |
| Aetna | NBR ASO/FI | $2,001.51 | ↑ +5% |
| Cigna | New Business ASO | $2,001.51 | ↑ +5% |
| InterGroup | PPO | $2,065.05 | ↑ +8% |
| Coventry/First Health | Commercial | $2,223.90 | ↑ +17% |
| Health Coalition Partners | PPO | $2,287.44 | ↑ +20% |
| Private Health Care Systems | PPO | $2,541.60 | ↑ +33% |
| Humana | Commercial | $2,700.45 | ↑ +42% |
Visitor-reported prices
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Ultrasound ob >=14wks ea addl gest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,759.20 | $81.52 – $2,492.20 |
| UPMC Muncy | Muncy | $309.00 | $54.54 – $653.91 |
| UPMC Somerset | Somerset | $976.80 | $49.00 – $1,221.00 |
| UPMC St. Margaret | Pittsburgh | $1,555.20 | $81.52 – $2,203.20 |
| UPMC Wellsboro | Wellsboro | $373.60 | $54.54 – $602.06 |
| UPMC Williamsport | Williamsport | $309.00 | $54.54 – $653.91 |