Biopsy of prostate at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$1,623.00
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.
$3,246.00
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.
$98.45 with aetna better health pa 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 |
|---|---|---|---|
| aetna better health pa | chip | $98.45 | ↓ -94% |
| geisinger pennsylvania | mgd medicaid | $107.40 | ↓ -93% |
| amerihealth caritas pa medicaid | amerihealth caritas pa medicaid | $111.88 | ↓ -93% |
| upmc for kids | chip | $111.88 | ↓ -93% |
| upmc for you medicaid | upmc for you medicaid | $111.88 | ↓ -93% |
| pennsylvania health & wellness | medicaid | $111.88 | ↓ -93% |
| upmc | commercial | $171.55 | ↓ -89% |
| wellpoint wv | chip | $205.80 | ↓ -87% |
| highmark health options | chip | $205.80 | ↓ -87% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -87% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -87% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -87% |
| aetna better health wv | chip | $209.72 | ↓ -87% |
| the health plan wv | chip | $209.72 | ↓ -87% |
| aetna | better health mgd medicaid | $209.72 | ↓ -87% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $225.40 | ↓ -86% |
Visitor-reported prices
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Biopsy of prostate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,295.80 | $113.67 – $4,669.05 |
| UPMC Cole | Coudersport | $427.80 | $93.97 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $3,295.80 | $113.67 – $2,316.78 |
| UPMC Hamot | Erie | $3,124.80 | $98.45 – $2,840.52 |
| UPMC Hanover | Hanover | $3,295.80 | $113.67 – $3,131.10 |
| UPMC Jameson | New Castle | $2,635.80 | $98.45 – $2,636.56 |
| UPMC Kane | Kane | $1,848.60 | $98.45 – $1,007.18 |
| UPMC Lititz | Lititz | $3,295.80 | $113.67 – $3,148.02 |