Avul nail plate addl at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$159.00
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.
$318.00
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.
$14.84 with united mine workers of america medicare advantage vs $225.40 with highmark wholecare pennsylvania medicaid — 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 |
|---|---|---|---|
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $14.84 | ↓ -91% |
| peak health medicare advantage | all plans | $14.84 | ↓ -91% |
| senior life medicare advantage | all plans | $15.58 | ↓ -90% |
| humana medicare advantage | all plans | $15.58 | ↓ -90% |
| amerihealth caritas pa medicare advantage | all pl | $15.58 | ↓ -90% |
| aetna medicare advantage | all plans | $15.58 | ↓ -90% |
| pa health & wellness medicare advantage | all plan | $15.73 | ↓ -90% |
| the health plan wv medicare advantage | all plans | $15.73 | ↓ -90% |
| geisinger pa medicare advantage | all plans | $15.73 | ↓ -90% |
| wv senior advantage | isnp | $15.73 | ↓ -90% |
| unitedhealthcare medicare advantage | all plans | $16.18 | ↓ -90% |
| upmc for life medicare advantage | all plans | $16.36 | ↓ -90% |
| the health plan wv | peia | $16.65 | ↓ -90% |
| highmark pa | chip | $20.04 | ↓ -87% |
| coventry health care | worker's compensation | $23.45 | ↓ -85% |
| alliance coal | alliance coal | $25.97 | ↓ -84% |
| aetna better health pa | chip | $28.33 | ↓ -82% |
| blue cross blue shield traditional | blue cross blue shield traditional | $30.82 | ↓ -81% |
| blue cross blue shield ppo | blue cross blue shield ppo | $30.82 | ↓ -81% |
| geisinger pennsylvania | mgd medicaid | $30.90 | ↓ -81% |
| upmc for you medicaid | upmc for you medicaid | $32.19 | ↓ -80% |
| amerihealth caritas pa medicaid | amerihealth caritas pa medicaid | $32.19 | ↓ -80% |
| pennsylvania health & wellness | medicaid | $32.19 | ↓ -80% |
| upmc for kids | chip | $32.19 | ↓ -80% |
| aetna | aetna | $34.58 | ↓ -78% |
| upmc | commercial | $171.55 | ↑ +8% |
| highmark health options west va | mgd mcaid | $205.80 | ↑ +29% |
| wellpoint wv | chip | $205.80 | ↑ +29% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↑ +29% |
| highmark health options | chip | $205.80 | ↑ +29% |
| the health plan wv | mgd mcaid | $208.74 | ↑ +31% |
| the health plan wv | chip | $209.72 | ↑ +32% |
| aetna | better health mgd medicaid | $209.72 | ↑ +32% |
| aetna better health wv | chip | $209.72 | ↑ +32% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $225.40 | ↑ +42% |
Visitor-reported prices
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Avul nail plate addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $622.20 | $27.04 – $933.30 |
| UPMC Carlisle | Carlisle | $370.80 | $32.70 – $525.30 |
| UPMC Cole | Coudersport | $59.40 | $27.04 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $370.80 | $32.70 – $525.30 |
| UPMC Hamot | Erie | $382.20 | $28.32 – $92.94 |
| UPMC Northwest | Seneca | $571.80 | $28.32 – $241.22 |
| UPMC Hanover | Hanover | $370.80 | $32.70 – $61.48 |
| UPMC Lititz | Lititz | $370.80 | $15.75 – $60.73 |