Nasal/sinus endo spendt remove tiss 31288 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$1,678.50
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.
$3,357.00
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 $15,938.34 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 | ↓ -90% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $6,840.49 | ↑ +308% |
| peak health medicare advantage | all plans | $6,840.49 | ↑ +308% |
| amerihealth caritas pa medicare advantage | all pl | $7,182.51 | ↑ +328% |
| senior life medicare advantage | all plans | $7,182.51 | ↑ +328% |
| humana medicare advantage | all plans | $7,182.51 | ↑ +328% |
| aetna medicare advantage | all plans | $7,182.51 | ↑ +328% |
| geisinger pa medicare advantage | all plans | $7,250.92 | ↑ +332% |
| pa health & wellness medicare advantage | all plan | $7,250.92 | ↑ +332% |
| the health plan wv medicare advantage | all plans | $7,250.92 | ↑ +332% |
| wv senior advantage | isnp | $7,250.92 | ↑ +332% |
| unitedhealthcare medicare advantage | all plans | $7,456.13 | ↑ +344% |
| upmc for life medicare advantage | all plans | $7,541.64 | ↑ +349% |
| the health plan wv | peia | $7,675.03 | ↑ +357% |
| highmark pa | chip | $9,236.03 | ↑ +450% |
| coventry health care | worker's compensation | $10,807.97 | ↑ +544% |
| alliance coal | alliance coal | $11,970.86 | ↑ +613% |
| blue cross blue shield ppo | blue cross blue shield ppo | $14,207.70 | ↑ +746% |
| blue cross blue shield traditional | blue cross blue shield traditional | $14,207.70 | ↑ +746% |
| aetna | aetna | $15,938.34 | ↑ +850% |
Visitor-reported prices
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Nasal/sinus endo spendt remove tiss 31288 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $531.60 | $75.12 – $1,192.92 |
| UPMC Hamot | Erie | not published | $836.96 – $9,598.86 |
| UPMC Northwest | Seneca | not published | $1,092.71 – $7,127.72 |
| UPMC Hanover | Hanover | not published | $1,016.56 – $10,580.86 |
| UPMC Mercy | Pittsburgh | not published | $681.00 – $7,259.71 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |