Ph1 assmt&mgmt nqhp 5-10 at Uniontown Hospital
500 W Berkeley St, Uniontown, PA · Wvumedicine · · NPI 1871594127
$8.50
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.
$17.00
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.
$8.75 with wellpoint wv vs $171.55 with upmc — 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 | $8.75 | ↑ +3% |
| highmark health options | chip | $8.75 | ↑ +3% |
| highmark health options west va | mgd mcaid | $8.75 | ↑ +3% |
| wellpoint west virginia | mgd mcaid | $8.75 | ↑ +3% |
| the health plan wv | mgd mcaid | $8.87 | ↑ +4% |
| aetna better health wv | chip | $8.91 | ↑ +5% |
| the health plan wv | chip | $8.91 | ↑ +5% |
| aetna | better health mgd medicaid | $8.91 | ↑ +5% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $9.58 | ↑ +13% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $13.26 | ↑ +56% |
| peak health medicare advantage | all plans | $13.26 | ↑ +56% |
| senior life medicare advantage | all plans | $13.92 | ↑ +64% |
| aetna medicare advantage | all plans | $13.92 | ↑ +64% |
| amerihealth caritas pa medicare advantage | all pl | $13.92 | ↑ +64% |
| humana medicare advantage | all plans | $13.92 | ↑ +64% |
| pa health & wellness medicare advantage | all plan | $14.06 | ↑ +65% |
| the health plan wv medicare advantage | all plans | $14.06 | ↑ +65% |
| wv senior advantage | isnp | $14.06 | ↑ +65% |
| geisinger pa medicare advantage | all plans | $14.06 | ↑ +65% |
| unitedhealthcare medicare advantage | all plans | $14.45 | ↑ +70% |
| upmc for life medicare advantage | all plans | $14.62 | ↑ +72% |
| the health plan wv | peia | $14.88 | ↑ +75% |
| highmark pa | chip | $17.90 | ↑ +111% |
| coventry health care | worker's compensation | $20.95 | ↑ +146% |
| alliance coal | alliance coal | $23.20 | ↑ +173% |
| blue cross blue shield ppo | blue cross blue shield ppo | $27.54 | ↑ +224% |
| blue cross blue shield traditional | blue cross blue shield traditional | $27.54 | ↑ +224% |
| aetna | aetna | $30.90 | ↑ +264% |
| upmc | commercial | $171.55 | ↑ +1918% |