Excision addl breast lesion 19126 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$546.17
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.
$1,092.33
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.
$140.64 with peak health medicare advantage vs $327.69 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 |
|---|---|---|---|
| peak health medicare advantage | all plans | $140.64 | ↓ -74% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $140.64 | ↓ -74% |
| senior life medicare advantage | all plans | $147.67 | ↓ -73% |
| amerihealth caritas pa medicare advantage | all pl | $147.67 | ↓ -73% |
| humana medicare advantage | all plans | $147.67 | ↓ -73% |
| aetna medicare advantage | all plans | $147.67 | ↓ -73% |
| geisinger pa medicare advantage | all plans | $149.08 | ↓ -73% |
| pa health & wellness medicare advantage | all plan | $149.08 | ↓ -73% |
| the health plan wv medicare advantage | all plans | $149.08 | ↓ -73% |
| wv senior advantage | isnp | $149.08 | ↓ -73% |
| unitedhealthcare medicare advantage | all plans | $153.30 | ↓ -72% |
| upmc for life medicare advantage | all plans | $155.06 | ↓ -72% |
| the health plan wv | peia | $157.80 | ↓ -71% |
| upmc | commercial | $171.55 | ↓ -69% |
| highmark pa | chip | $189.89 | ↓ -65% |
| coventry health care | worker's compensation | $222.21 | ↓ -59% |
| alliance coal | alliance coal | $246.12 | ↓ -55% |
| blue cross blue shield ppo | blue cross blue shield ppo | $292.11 | ↓ -47% |
| blue cross blue shield traditional | blue cross blue shield traditional | $292.11 | ↓ -47% |
| aetna | aetna | $327.69 | ↓ -40% |
Visitor-reported prices
Comments
Excision addl breast lesion 19126 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $297.00 | $137.21 – $1,192.92 |
| UPMC Kane | Kane | $1,841.40 | $633.91 – $1,954.76 |
| UPMC Community Osteopathic | Harrisburg | not published | $186.19 – $5,805.45 |
| UPMC East | Monroeville | not published | $457.29 – $2,654.57 |