Complx repair enel 2.6-7.5 cm 13152 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$1,027.00
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.
$2,054.00
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.
$171.55 with upmc vs $1,669.10 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 |
|---|---|---|---|
| upmc | commercial | $171.55 | ↓ -83% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -80% |
| wellpoint wv | chip | $205.80 | ↓ -80% |
| highmark health options | chip | $205.80 | ↓ -80% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -80% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -80% |
| the health plan wv | chip | $209.72 | ↓ -80% |
| aetna | better health mgd medicaid | $209.72 | ↓ -80% |
| aetna better health wv | chip | $209.72 | ↓ -80% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $225.40 | ↓ -78% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $716.35 | ↓ -30% |
| peak health medicare advantage | all plans | $716.35 | ↓ -30% |
| senior life medicare advantage | all plans | $752.17 | ↓ -27% |
| humana medicare advantage | all plans | $752.17 | ↓ -27% |
| amerihealth caritas pa medicare advantage | all pl | $752.17 | ↓ -27% |
| aetna medicare advantage | all plans | $752.17 | ↓ -27% |
| wv senior advantage | isnp | $759.33 | ↓ -26% |
| pa health & wellness medicare advantage | all plan | $759.33 | ↓ -26% |
| the health plan wv medicare advantage | all plans | $759.33 | ↓ -26% |
| geisinger pa medicare advantage | all plans | $759.33 | ↓ -26% |
| unitedhealthcare medicare advantage | all plans | $780.82 | ↓ -24% |
| upmc for life medicare advantage | all plans | $789.78 | ↓ -23% |
| the health plan wv | peia | $803.74 | ↓ -22% |
| aetna better health pa | chip | $853.60 | ↓ -17% |
| geisinger pennsylvania | mgd medicaid | $931.20 | ↓ -9% |
| highmark pa | chip | $967.22 | ↓ -6% |
| upmc for you medicaid | upmc for you medicaid | $970.00 | ↓ -6% |
| upmc for kids | chip | $970.00 | ↓ -6% |
| pennsylvania health & wellness | medicaid | $970.00 | ↓ -6% |
| amerihealth caritas pa medicaid | amerihealth caritas pa medicaid | $970.00 | ↓ -6% |
| coventry health care | worker's compensation | $1,131.83 | ↑ +10% |
| alliance coal | alliance coal | $1,253.61 | ↑ +22% |
| blue cross blue shield ppo | blue cross blue shield ppo | $1,487.86 | ↑ +45% |
| blue cross blue shield traditional | blue cross blue shield traditional | $1,487.86 | ↑ +45% |
| aetna | aetna | $1,669.10 | ↑ +63% |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,637.80 | $595.15 – $4,850.40 |
| UPMC Bedford | Everett | $5,608.80 | $210.56 – $8,413.20 |
| UPMC Carlisle | Carlisle | $1,212.00 | $276.74 – $1,717.00 |
| UPMC Cole | Coudersport | $1,941.60 | $347.89 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $1,212.00 | $404.00 – $2,636.20 |
| UPMC East | Monroeville | $2,751.60 | $585.17 – $3,668.80 |
| UPMC Hamot | Erie | $3,556.80 | $673.54 – $1,174.62 |
| UPMC Northwest | Seneca | $4,655.40 | $529.26 – $1,104.02 |