Biopsy of rectum wall anal approach 45100 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$3,190.50
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.
?
What you pay up front if you don't use insurance.
$6,381.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$165.55 with aetna better health pa vs $6,268.47 with aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $165.55 | ↓ -95% |
| upmc | commercial | $171.55 | ↓ -95% |
| geisinger pennsylvania | mgd medicaid | $180.60 | ↓ -94% |
| pennsylvania health & wellness | medicaid | $188.13 | ↓ -94% |
| amerihealth caritas pa medicaid | amerihealth caritas pa medicaid | $188.13 | ↓ -94% |
| upmc for kids | chip | $188.13 | ↓ -94% |
| upmc for you medicaid | upmc for you medicaid | $188.13 | ↓ -94% |
| highmark health options | chip | $205.80 | ↓ -94% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -94% |
| wellpoint wv | chip | $205.80 | ↓ -94% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -94% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -93% |
| aetna | better health mgd medicaid | $209.72 | ↓ -93% |
| the health plan wv | chip | $209.72 | ↓ -93% |
| aetna better health wv | chip | $209.72 | ↓ -93% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $225.40 | ↓ -93% |
| peak health medicare advantage | all plans | $2,690.33 | ↓ -16% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $2,690.33 | ↓ -16% |
| senior life medicare advantage | all plans | $2,824.85 | ↓ -11% |
| amerihealth caritas pa medicare advantage | all pl | $2,824.85 | ↓ -11% |
| aetna medicare advantage | all plans | $2,824.85 | ↓ -11% |
| humana medicare advantage | all plans | $2,824.85 | ↓ -11% |
| wv senior advantage | isnp | $2,851.75 | ↓ -11% |
| the health plan wv medicare advantage | all plans | $2,851.75 | ↓ -11% |
| pa health & wellness medicare advantage | all plan | $2,851.75 | ↓ -11% |
| geisinger pa medicare advantage | all plans | $2,851.75 | ↓ -11% |
| unitedhealthcare medicare advantage | all plans | $2,932.46 | ↓ -8% |
| upmc for life medicare advantage | all plans | $2,966.09 | ↓ -7% |
| the health plan wv | peia | $3,018.55 | ↓ -5% |
| highmark pa | chip | $3,632.48 | ↑ +14% |
| coventry health care | worker's compensation | $4,250.72 | ↑ +33% |
| alliance coal | alliance coal | $4,708.08 | ↑ +48% |
| blue cross blue shield traditional | blue cross blue shield traditional | $5,587.82 | ↑ +75% |
| blue cross blue shield ppo | blue cross blue shield ppo | $5,587.82 | ↑ +75% |
| aetna | aetna | $6,268.47 | ↑ +96% |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $339.60 | $68.19 – $771.51 |
| UPMC Altoona | Altoona | not published | $150.50 – $2,823.70 |
| UPMC Community Osteopathic | Harrisburg | not published | $203.18 – $7,348.95 |
| UPMC East | Monroeville | not published | $165.55 – $2,875.99 |
| UPMC Hamot | Erie | not published | $165.55 – $3,802.67 |
| UPMC Mercy | Pittsburgh | not published | $165.55 – $2,875.99 |
| UPMC Presbyterian | Pittsburgh | not published | $165.55 – $2,875.99 |