Gi wireless capsule measure at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$1,042.50
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.
$2,085.00
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.
$76.94 with wellpoint wv vs $2,048.30 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 |
|---|---|---|---|
| wellpoint wv | chip | $76.94 | ↓ -93% |
| wellpoint west virginia | mgd mcaid | $76.94 | ↓ -93% |
| highmark health options | chip | $76.94 | ↓ -93% |
| highmark health options west va | mgd mcaid | $76.94 | ↓ -93% |
| the health plan wv | mgd mcaid | $78.04 | ↓ -93% |
| aetna better health wv | chip | $78.41 | ↓ -92% |
| the health plan wv | chip | $78.41 | ↓ -92% |
| aetna | better health mgd medicaid | $78.41 | ↓ -92% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $84.27 | ↓ -92% |
| upmc | commercial | $171.55 | ↓ -84% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $879.10 | ↓ -16% |
| peak health medicare advantage | all plans | $879.10 | ↓ -16% |
| senior life medicare advantage | all plans | $923.06 | ↓ -11% |
| aetna medicare advantage | all plans | $923.06 | ↓ -11% |
| amerihealth caritas pa medicare advantage | all pl | $923.06 | ↓ -11% |
| humana medicare advantage | all plans | $923.06 | ↓ -11% |
| geisinger pa medicare advantage | all plans | $931.85 | ↓ -11% |
| pa health & wellness medicare advantage | all plan | $931.85 | ↓ -11% |
| the health plan wv medicare advantage | all plans | $931.85 | ↓ -11% |
| wv senior advantage | isnp | $931.85 | ↓ -11% |
| unitedhealthcare medicare advantage | all plans | $958.22 | ↓ -8% |
| upmc for life medicare advantage | all plans | $969.21 | ↓ -7% |
| the health plan wv | peia | $986.35 | ↓ -5% |
| highmark pa | chip | $1,186.96 | ↑ +14% |
| coventry health care | worker's compensation | $1,388.98 | ↑ +33% |
| alliance coal | alliance coal | $1,538.42 | ↑ +48% |
| blue cross blue shield ppo | blue cross blue shield ppo | $1,825.89 | ↑ +75% |
| blue cross blue shield traditional | blue cross blue shield traditional | $1,825.89 | ↑ +75% |
| aetna | aetna | $2,048.30 | ↑ +96% |
Visitor-reported prices
Comments
Gi wireless capsule measure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $6,645.00 | $836.55 – $1,556.72 |
| UPMC Presbyterian | Pittsburgh | $5,499.60 | $604.27 – $2,084.15 |