Ercp bil/panc duct; each stent plcmt 43274 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$4,151.50
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.
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What you pay up front if you don't use insurance.
$8,303.00
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 $13,710.33 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 | ↓ -96% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -95% |
| highmark health options | chip | $205.80 | ↓ -95% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -95% |
| wellpoint wv | chip | $205.80 | ↓ -95% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -95% |
| aetna better health wv | chip | $209.72 | ↓ -95% |
| the health plan wv | chip | $209.72 | ↓ -95% |
| aetna | better health mgd medicaid | $209.72 | ↓ -95% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $225.40 | ↓ -95% |
| aetna better health pa | chip | $853.60 | ↓ -79% |
| geisinger pennsylvania | mgd medicaid | $931.20 | ↓ -78% |
| pennsylvania health & wellness | medicaid | $970.00 | ↓ -77% |
| amerihealth caritas pa medicaid | amerihealth caritas pa medicaid | $970.00 | ↓ -77% |
| upmc for kids | chip | $970.00 | ↓ -77% |
| upmc for you medicaid | upmc for you medicaid | $970.00 | ↓ -77% |
| peak health medicare advantage | all plans | $5,884.26 | ↑ +42% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $5,884.26 | ↑ +42% |
| humana medicare advantage | all plans | $6,178.47 | ↑ +49% |
| amerihealth caritas pa medicare advantage | all pl | $6,178.47 | ↑ +49% |
| aetna medicare advantage | all plans | $6,178.47 | ↑ +49% |
| senior life medicare advantage | all plans | $6,178.47 | ↑ +49% |
| the health plan wv medicare advantage | all plans | $6,237.32 | ↑ +50% |
| wv senior advantage | isnp | $6,237.32 | ↑ +50% |
| geisinger pa medicare advantage | all plans | $6,237.32 | ↑ +50% |
| pa health & wellness medicare advantage | all plan | $6,237.32 | ↑ +50% |
| unitedhealthcare medicare advantage | all plans | $6,413.84 | ↑ +54% |
| upmc for life medicare advantage | all plans | $6,487.40 | ↑ +56% |
| the health plan wv | peia | $6,602.14 | ↑ +59% |
| highmark pa | chip | $7,944.93 | ↑ +91% |
| coventry health care | worker's compensation | $9,297.13 | ↑ +124% |
| alliance coal | alliance coal | $10,297.46 | ↑ +148% |
| blue cross blue shield traditional | blue cross blue shield traditional | $12,221.61 | ↑ +194% |
| blue cross blue shield ppo | blue cross blue shield ppo | $12,221.61 | ↑ +194% |
| aetna | aetna | $13,710.33 | ↑ +230% |
Visitor-reported prices
Comments
Ercp bil/panc duct; each stent plcmt 43274 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,517.80 | $172.48 – $6,129.31 |
| UPMC Cole | Coudersport | $858.60 | $172.48 – $1,144.80 |
| UPMC East | Monroeville | $3,055.20 | $98.53 – $6,129.31 |
| UPMC Hamot | Erie | $4,961.40 | $214.14 – $8,254.31 |
| UPMC Jameson | New Castle | $2,754.00 | $172.48 – $7,661.64 |
| UPMC Magee | Pittsburgh | $3,596.40 | $156.59 – $6,242.82 |
| UPMC McKeesport | Mckeesport | $3,033.60 | $93.93 – $6,242.82 |
| UPMC Mercy | Pittsburgh | $4,282.20 | $95.34 – $6,242.82 |