Biopsy of nail unit 11755 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$814.00
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.
$1,628.00
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.
$82.79 with aetna better health pa vs $1,599.22 with aetna — 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 |
|---|---|---|---|
| aetna better health pa | chip | $82.79 | ↓ -90% |
| geisinger pennsylvania | mgd medicaid | $90.31 | ↓ -89% |
| pennsylvania health & wellness | medicaid | $94.08 | ↓ -88% |
| amerihealth caritas pa medicaid | amerihealth caritas pa medicaid | $94.08 | ↓ -88% |
| upmc for kids | chip | $94.08 | ↓ -88% |
| upmc for you medicaid | upmc for you medicaid | $94.08 | ↓ -88% |
| upmc | commercial | $171.55 | ↓ -79% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -75% |
| highmark health options | chip | $205.80 | ↓ -75% |
| wellpoint wv | chip | $205.80 | ↓ -75% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -75% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -74% |
| aetna | better health mgd medicaid | $209.72 | ↓ -74% |
| the health plan wv | chip | $209.72 | ↓ -74% |
| aetna better health wv | chip | $209.72 | ↓ -74% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $225.40 | ↓ -72% |
| peak health medicare advantage | all plans | $686.36 | ↓ -16% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $686.36 | ↓ -16% |
| amerihealth caritas pa medicare advantage | all pl | $720.68 | ↓ -11% |
| aetna medicare advantage | all plans | $720.68 | ↓ -11% |
| senior life medicare advantage | all plans | $720.68 | ↓ -11% |
| humana medicare advantage | all plans | $720.68 | ↓ -11% |
| the health plan wv medicare advantage | all plans | $727.54 | ↓ -11% |
| wv senior advantage | isnp | $727.54 | ↓ -11% |
| geisinger pa medicare advantage | all plans | $727.54 | ↓ -11% |
| pa health & wellness medicare advantage | all plan | $727.54 | ↓ -11% |
| unitedhealthcare medicare advantage | all plans | $748.13 | ↓ -8% |
| upmc for life medicare advantage | all plans | $756.71 | ↓ -7% |
| the health plan wv | peia | $770.10 | ↓ -5% |
| highmark pa | chip | $926.72 | ↑ +14% |
| coventry health care | worker's compensation | $1,084.45 | ↑ +33% |
| alliance coal | alliance coal | $1,201.13 | ↑ +48% |
| blue cross blue shield traditional | blue cross blue shield traditional | $1,425.57 | ↑ +75% |
| blue cross blue shield ppo | blue cross blue shield ppo | $1,425.57 | ↑ +75% |
| aetna | aetna | $1,599.22 | ↑ +96% |
Visitor-reported prices
Comments
Biopsy of nail unit 11755 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $2,634.60 | $82.79 – $737.87 |
| UPMC St. Margaret | Pittsburgh | $2,493.60 | $82.79 – $550.23 |
| UPMC Community Osteopathic | Harrisburg | not published | $98.59 – $2,656.50 |
| UPMC Memorial | York | not published | $95.58 – $1,079.47 |