Ligation/biopsy of temporal artery 37609 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$943.50
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.
$1,887.00
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 $3,729.91 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 | ↓ -82% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,600.82 | ↑ +70% |
| peak health medicare advantage | all plans | $1,600.82 | ↑ +70% |
| amerihealth caritas pa medicare advantage | all pl | $1,680.86 | ↑ +78% |
| senior life medicare advantage | all plans | $1,680.86 | ↑ +78% |
| humana medicare advantage | all plans | $1,680.86 | ↑ +78% |
| aetna medicare advantage | all plans | $1,680.86 | ↑ +78% |
| geisinger pa medicare advantage | all plans | $1,696.87 | ↑ +80% |
| pa health & wellness medicare advantage | all plan | $1,696.87 | ↑ +80% |
| the health plan wv medicare advantage | all plans | $1,696.87 | ↑ +80% |
| wv senior advantage | isnp | $1,696.87 | ↑ +80% |
| unitedhealthcare medicare advantage | all plans | $1,744.89 | ↑ +85% |
| upmc for life medicare advantage | all plans | $1,764.90 | ↑ +87% |
| the health plan wv | peia | $1,796.12 | ↑ +90% |
| highmark pa | chip | $2,161.43 | ↑ +129% |
| coventry health care | worker's compensation | $2,529.30 | ↑ +168% |
| alliance coal | alliance coal | $2,801.44 | ↑ +197% |
| blue cross blue shield ppo | blue cross blue shield ppo | $3,324.90 | ↑ +252% |
| blue cross blue shield traditional | blue cross blue shield traditional | $3,324.90 | ↑ +252% |
| aetna | aetna | $3,729.91 | ↑ +295% |
Visitor-reported prices
Comments
Ligation/biopsy of temporal artery 37609 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,489.80 | $157.48 – $6,360.55 |
| UPMC Cole | Coudersport | $405.60 | $81.22 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $4,489.80 | $157.48 – $6,360.55 |
| UPMC Hanover | Hanover | $4,489.80 | $157.48 – $2,476.51 |
| UPMC Lititz | Lititz | $4,489.80 | $157.48 – $2,489.89 |
| UPMC Memorial | York | $4,489.80 | $157.48 – $2,485.84 |
| UPMC Somerset | Somerset | $4,489.80 | $136.40 – $1,544.70 |
| UPMC Altoona | Altoona | not published | $124.00 – $1,668.28 |