healthcosts.net
Warde analysis gene hfe common variants at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$2,381.40
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.
$3,969.00
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.
$59.27 with UPMC Health Plan vs $2,253.35 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 Medicare | $59.27 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $64.60 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $65.36 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $65.36 | ↓ -97% |
| UPMC Health Plan | Commercial | $66.58 | ↓ -97% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $66.92 | ↓ -97% |
| Aetna | Medicare | $67.32 | ↓ -97% |
| United Healthcare | Unison Advantage Non Special Needs | $68.63 | ↓ -97% |
| Aetna of PA | Medicare | $68.63 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $70.58 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $70.59 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $70.59 | ↓ -97% |
| United Healthcare | Unison Advantage Special Needs | $71.90 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $78.47 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $82.04 | ↓ -97% |
| Aetna | Medicaid | $85.61 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $105.80 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $111.37 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $121.58 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $942.14 | ↓ -60% |
| Cigna | Commercial | $1,060.40 | ↓ -55% |
| Aetna | EBR ASO | $1,060.40 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,160.78 | ↓ -51% |
| Aetna | EBR FI | $1,537.58 | ↓ -35% |
| Aetna | Neighborhood Network | $1,590.60 | ↓ -33% |
| Aetna | Home Depot Employer Group | $1,635.67 | ↓ -31% |
| Aetna | NBR ASO/FI | $1,670.13 | ↓ -30% |
| Cigna | New Business ASO | $1,670.13 | ↓ -30% |
| InterGroup | PPO | $1,723.15 | ↓ -28% |
| Coventry/First Health | Commercial | $1,855.70 | ↓ -22% |
| Health Coalition Partners | PPO | $1,908.72 | ↓ -20% |
| Private Health Care Systems | PPO | $2,120.80 | ↓ -11% |
| Humana | Commercial | $2,253.35 | ↓ -5% |
Visitor-reported prices
Comments
Warde analysis gene hfe common variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,381.40 | $60.74 – $506.60 |
| UPMC Mercy | Pittsburgh | $1,590.60 | $54.48 – $2,250.90 |
| UPMC Muncy | Muncy | $1,048.20 | $35.25 – $188.00 |
| UPMC Presbyterian | Pittsburgh | $4,242.00 | $64.60 – $477.70 |
| UPMC Somerset | Somerset | $378.60 | $64.60 – $473.25 |
| UPMC St. Margaret | Pittsburgh | $1,590.60 | $56.43 – $477.70 |
| UPMC Wellsboro | Wellsboro | $1,331.20 | $40.32 – $201.60 |
| UPMC Williamsport | Williamsport | $324.60 | $64.60 – $228.80 |