Observation direct referral from physician office for admission at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$984.00
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.
$1,968.00
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.
$50.00 with highmark wholecare pennsylvania medicaid vs $6,808.00 with united healthcare — 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 |
|---|---|---|---|
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $50.00 | ↓ -95% |
| upmc for you medicaid | upmc for you medicaid | $50.00 | ↓ -95% |
| upmc | commercial | $171.55 | ↓ -83% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $580.06 | ↓ -41% |
| peak health medicare advantage | all plans | $580.06 | ↓ -41% |
| humana medicare advantage | all plans | $609.06 | ↓ -38% |
| amerihealth caritas pa medicare advantage | all pl | $609.06 | ↓ -38% |
| aetna medicare advantage | all plans | $609.06 | ↓ -38% |
| senior life medicare advantage | all plans | $609.06 | ↓ -38% |
| wv senior advantage | isnp | $614.86 | ↓ -38% |
| pa health & wellness medicare advantage | all plan | $614.86 | ↓ -38% |
| the health plan wv medicare advantage | all plans | $614.86 | ↓ -38% |
| geisinger pa medicare advantage | all plans | $614.86 | ↓ -38% |
| unitedhealthcare medicare advantage | all plans | $632.27 | ↓ -36% |
| upmc for life medicare advantage | all plans | $639.52 | ↓ -35% |
| the health plan wv | peia | $650.83 | ↓ -34% |
| highmark pa | chip | $783.20 | ↓ -20% |
| coventry health care | worker's compensation | $916.49 | ↓ -7% |
| amerihealth caritas pa medicaid | amerihealth caritas pa medicaid | $1,000.00 | ↑ +2% |
| alliance coal | alliance coal | $1,015.10 | ↑ +3% |
| blue cross blue shield ppo | blue cross blue shield ppo | $1,204.78 | ↑ +22% |
| blue cross blue shield traditional | blue cross blue shield traditional | $1,204.78 | ↑ +22% |
| aetna | aetna | $1,351.54 | ↑ +37% |
| united healthcare | united healthcare | $6,808.00 | ↑ +592% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $117.00 | $27.00 – $2,064.00 |
| UPMC Bedford | Everett | $166.20 | $31.88 – $2,207.16 |
| UPMC Carlisle | Carlisle | $420.00 | $95.90 – $2,064.00 |
| UPMC Cole | Coudersport | $84.00 | $38.81 – $112.00 |
| UPMC Community Osteopathic | Harrisburg | $420.00 | $169.40 – $3,000.00 |
| UPMC East | Monroeville | $130.20 | $31.88 – $2,207.16 |
| UPMC Hamot | Erie | $138.60 | $674.61 – $728.58 |
| UPMC Northwest | Seneca | $112.80 | $31.88 – $631.28 |