Excision breast lesion at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$2,488.00
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.
$4,976.00
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 $8,842.49 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 | ↓ -93% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,795.06 | ↑ +53% |
| peak health medicare advantage | all plans | $3,795.06 | ↑ +53% |
| amerihealth caritas pa medicare advantage | all pl | $3,984.81 | ↑ +60% |
| senior life medicare advantage | all plans | $3,984.81 | ↑ +60% |
| humana medicare advantage | all plans | $3,984.81 | ↑ +60% |
| aetna medicare advantage | all plans | $3,984.81 | ↑ +60% |
| geisinger pa medicare advantage | all plans | $4,022.76 | ↑ +62% |
| pa health & wellness medicare advantage | all plan | $4,022.76 | ↑ +62% |
| the health plan wv medicare advantage | all plans | $4,022.76 | ↑ +62% |
| wv senior advantage | isnp | $4,022.76 | ↑ +62% |
| unitedhealthcare medicare advantage | all plans | $4,136.62 | ↑ +66% |
| upmc for life medicare advantage | all plans | $4,184.05 | ↑ +68% |
| the health plan wv | peia | $4,258.06 | ↑ +71% |
| highmark pa | chip | $5,124.09 | ↑ +106% |
| coventry health care | worker's compensation | $5,996.19 | ↑ +141% |
| alliance coal | alliance coal | $6,641.35 | ↑ +167% |
| blue cross blue shield ppo | blue cross blue shield ppo | $7,882.34 | ↑ +217% |
| blue cross blue shield traditional | blue cross blue shield traditional | $7,882.34 | ↑ +217% |
| aetna | aetna | $8,842.49 | ↑ +255% |
Visitor-reported prices
Comments
Excision breast lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $666.60 | $307.97 – $1,192.92 |
| UPMC Kane | Kane | $1,841.40 | $773.68 – $2,406.08 |
| UPMC Altoona | Altoona | not published | $773.68 – $3,942.82 |
| UPMC Carlisle | Carlisle | not published | $809.67 – $5,861.07 |
| UPMC Community Osteopathic | Harrisburg | not published | $815.52 – $5,805.45 |
| UPMC East | Monroeville | not published | $844.93 – $4,015.84 |
| UPMC Hamot | Erie | not published | $836.96 – $5,309.76 |
| UPMC Hanover | Hanover | not published | $815.52 – $5,852.98 |