▸ Hospital · PA · CCN 390091

UPMC Northwest

100 FAIRFIELD DRIVE, SENECA, PA, 16346

138 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

163

of 209 target codes

Payers

with negotiated rates

Rates published

39,754

last crawl 2026-05-24

▸ Compare with other hospitals All PA hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/250489010_upmc-northwest_standardcharges.csv? · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	7	—	—	$3,704	$10,948	$12,303
emergency
ED visit level 1	CPT	99281	13	$355	$213	$51.26	$205.9	$3,704
ED visit level 2	CPT	99282	13	$442	$265.2	$36.28	$215.55	$3,704
ED visit level 3	CPT	99283	13	$561	$336.6	$62.31	$290.38	$3,704
ED visit level 4	CPT	99284	13	$950	$570	$104.86	$446.57	$3,704
ED visit level 5	CPT	99285	13	$1,172	$703.2	$152.61	$631.28	$3,704
Critical care, first hour	CPT	99291	13	$2,105	$1,263	$166.79	$867.6	$3,704
imaging
CT head without contrast	CPT	70450	13	$2,044	$1,226.4	$91.94	$817.6	$3,704
CT head with contrast	CPT	70460	13	$2,280	$1,368	$147.4	$912	$3,704
CT head with and without contrast	CPT	70470	13	$2,555	$1,533	$153.92	$1,022	$3,704
CT neck with contrast	CPT	70491	13	$2,280	$1,368	$151.25	$912	$3,704
MRI brain without contrast	CPT	70551	13	$3,675	$2,205	$209	$1,472.28	$3,704
MRI brain with contrast	CPT	70552	13	$4,083	$2,449.8	$308.78	$1,768.25	$3,704
MRI brain with and without contrast	CPT	70553	13	$6,379	$3,827.4	$308.78	$3,121.32	$5,422.15
Chest X-ray single view	CPT	71045	13	$181	$108.6	$16.69	$90.67	$3,704
Chest X-ray 2 views	CPT	71046	13	$235	$141	$26	$94	$3,704
Chest X-ray 3 views	CPT	71047	13	$364	$218.4	$33.23	$145.6	$3,704
CT chest without contrast	CPT	71250	13	$2,044	$1,226.4	$91.94	$838.32	$3,704
CT chest with contrast	CPT	71260	13	$2,280	$1,368	$153.92	$979.09	$3,704
CT chest with and without contrast	CPT	71270	13	$2,555	$1,533	$153.92	$1,194.26	$3,704
MRI chest without contrast	CPT	71550	13	$3,675	$2,205	$209	$1,492.78	$3,704
MRI chest with and without contrast	CPT	71552	13	$6,359	$3,815.4	$308.78	$2,580.61	$5,405.15
Lumbosacral spine X-ray	CPT	72100	13	$258	$154.8	$34.3	$111.52	$3,704
CT cervical spine without contrast	CPT	72125	13	$2,280	$1,368	$91.94	$912	$3,704
CT thoracic spine without contrast	CPT	72128	13	$2,280	$1,368	$91.94	$912	$3,704
CT lumbar spine without contrast	CPT	72131	13	$2,280	$1,368	$91.94	$912	$3,704
MRI cervical spine without contrast	CPT	72141	13	$3,675	$2,205	$209	$1,492.78	$3,704
MRI thoracic spine without contrast	CPT	72146	13	$3,675	$2,205	$209	$1,628.25	$3,704
MRI lumbar spine without contrast	CPT	72148	13	$3,675	$2,205	$209	$1,607.79	$3,704
MRI lumbar spine with and without contrast	CPT	72149	13	$4,083	$2,449.8	$308.78	$1,768.25	$3,704
MRI cervical spine with and without contrast	CPT	72156	13	$6,440	$3,864	$308.78	$3,153.45	$5,474
MRI lumbar spine with contrast	CPT	72158	13	$6,379	$3,827.4	$308.78	$3,121.32	$5,422.15
CT pelvis without contrast	CPT	72192	13	$2,044	$1,226.4	$91.94	$826.31	$3,704
CT pelvis with contrast	CPT	72193	13	$2,280	$1,368	$153.92	$940.11	$3,704
Shoulder X-ray	CPT	73030	13	$197	$118.2	$28.59	$113.84	$3,704
Humerus X-ray	CPT	73060	13	$199	$119.4	$28.02	$114.45	$3,704
Hand X-ray 3 views	CPT	73130	13	$199	$119.4	$26.77	$112.44	$3,704
MRI upper extremity joint without contrast	CPT	73221	13	$3,675	$2,205	$209	$2,168.25	$3,704
MRI upper extremity joint with and without contrast	CPT	73223	13	$6,359	$3,815.4	$308.78	$3,696.11	$5,405.15
Knee X-ray 1-2 views	CPT	73560	13	$199	$119.4	$30.18	$112.44	$3,704
Ankle X-ray 3 views	CPT	73610	13	$199	$119.4	$26.26	$112.44	$3,704
MRI lower extremity joint without contrast	CPT	73721	13	$3,675	$2,205	$209	$2,168.25	$3,704
MRI lower extremity joint with and without contrast	CPT	73723	13	$6,359	$3,815.4	$308.78	$3,696.11	$5,405.15
CT abdomen without contrast	CPT	74150	13	$2,044	$1,226.4	$91.94	$817.6	$3,704
CT abdomen with contrast	CPT	74160	13	$2,280	$1,368	$153.92	$958.49	$3,704
CT abdomen with and without contrast	CPT	74170	13	$2,555	$1,533	$153.92	$1,159.86	$3,704
CT abdomen and pelvis without contrast	CPT	74176	13	$2,044	$1,226.4	$185.12	$1,185.52	$3,704
CT abdomen and pelvis with contrast	CPT	74177	13	$2,280	$1,368	$289.48	$1,322.4	$3,704
CT abdomen and pelvis with and without contrast	CPT	74178	13	$2,555	$1,533	$308.78	$1,481.9	$3,704
MRI abdomen without contrast	CPT	74181	13	$3,675	$2,205	$209	$1,492.78	$3,704
MRI abdomen with and without contrast	CPT	74183	13	$6,359	$3,815.4	$308.78	$2,597.64	$5,405.15
Abdominal ultrasound complete	CPT	76700	13	$940	$564	$91.94	$376	$3,704
Abdominal ultrasound limited	CPT	76705	13	$525	$315	$68.75	$253.13	$3,704
Retroperitoneal ultrasound complete	CPT	76770	13	$1,065	$639	$89.65	$426	$3,704
Obstetric ultrasound first trimester	CPT	76801	13	$1,018	$610.8	$91.94	$407.2	$3,704
Obstetric ultrasound after first trimester	CPT	76805	13	$1,018	$610.8	$85.25	$407.2	$3,704
Transvaginal ultrasound	CPT	76830	13	$590	$354	$84.15	$282.51	$3,704
Pelvic ultrasound complete	CPT	76856	13	$817	$490.2	$84.15	$326.8	$3,704
Scrotal ultrasound	CPT	76870	13	$817	$490.2	$81.4	$326.8	$3,704
Diagnostic mammography unilateral	CPT	77065	12	$812	$487.2	$112.65	$494.1	$3,704
Diagnostic mammography bilateral	CPT	77066	12	$986	$591.6	$142.84	$599.98	$3,704
Screening mammography bilateral	CPT	77067	12	$342	$205.2	$85.5	$211.53	$3,704
EKG tracing only	CPT	93005	13	$246	$147.6	$11.51	$98.4	$3,704
Transthoracic echocardiogram complete	CPT	93306	13	$3,034	$1,820.4	$155.12	$1,213.6	$3,704
Transthoracic echocardiogram	CPT	93307	13	$1,709	$1,025.4	$154.42	$683.6	$3,704
Stress echocardiogram	CPT	93350	13	$1,044	$626.4	$84.15	$605.52	$3,704
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	8	—	—	$3,704	$16,027	$24,367
Intracranial hemorrhage/CVA w CC	MS-DRG	065	8	—	—	$3,704	$8,260	$15,308
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	8	—	—	$3,704	$5,729.9	$11,958
Respiratory infections & inflammations w MCC	MS-DRG	177	8	—	—	$3,704	$12,547	$18,779
COPD w MCC	MS-DRG	190	8	—	—	$3,704	$9,016.14	$12,670
COPD w CC	MS-DRG	191	8	—	—	$3,704	$6,961.17	$11,194
COPD w/o CC/MCC	MS-DRG	192	8	—	—	$3,704	$5,400.71	$9,223.57
Simple pneumonia & pleurisy w CC	MS-DRG	194	8	—	—	$3,704	$6,673.15	$10,604
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	8	—	—	$3,704	$5,295.91	$9,223.57
AMI discharged alive w MCC	MS-DRG	280	8	—	—	$3,704	$12,869	$19,022
AMI discharged alive w CC	MS-DRG	281	8	—	—	$3,704	$7,551.95	$13,121
AMI discharged alive w/o CC/MCC	MS-DRG	282	8	—	—	$3,704	$6,030.33	$11,837
Heart failure & shock w MCC	MS-DRG	291	8	—	—	$3,704	$10,382	$14,700
Heart failure & shock w CC	MS-DRG	292	8	—	—	$3,704	$7,007.75	$10,032
Heart failure & shock w/o CC/MCC	MS-DRG	293	8	—	—	$3,704	$4,810.26	$9,223.57
Cardiac arrhythmia w MCC	MS-DRG	308	8	—	—	$3,704	$9,762.84	$13,642
Cardiac arrhythmia w CC	MS-DRG	309	8	—	—	$3,704	$6,128.15	$9,223.57
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	8	—	—	$3,704	$4,811.03	$9,223.57
GI hemorrhage w CC	MS-DRG	378	8	—	—	$3,704	$8,030.2	$13,364
GI hemorrhage w/o CC/MCC	MS-DRG	379	8	—	—	$3,704	$5,310.67	$9,424.1
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	8	—	—	$3,704	$6,468.96	$9,223.57
Fractures of femur w/o MCC	MS-DRG	533	7	—	—	$3,704	$12,587	$26,519
Kidney/UTI w MCC	MS-DRG	689	7	—	—	$3,704	$9,424.06	$15,828
Kidney/UTI w/o MCC	MS-DRG	690	7	—	—	$3,704	$6,700.78	$8,660.45
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	—	—	$3,704	$15,496	$24,333
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	—	—	$3,704	$8,360.53	$12,427
lab
Basic metabolic panel (BMP)	CPT	80048	14	$141	$84.6	$7.67	$57.37	$3,704
Electrolyte panel	CPT	80051	14	$85	$51	$6.36	$40.38	$3,704
Comprehensive metabolic panel	CPT	80053	14	$211	$126.6	$9.58	$84.4	$3,704
Lipid panel	CPT	80061	14	$222	$133.2	$12.14	$88.8	$3,704
Renal function panel	CPT	80069	14	$175	$105	$7.87	$70	$3,704
Hepatic function panel	CPT	80076	14	$331	$198.6	$7.41	$132.4	$3,704
Urinalysis non-automated	CPT	81002	14	$31	$18.6	$3.16	$15.19	$3,704
Urinalysis automated	CPT	81003	14	$29	$17.4	$2.04	$13.74	$3,704
Glucose quantitative	CPT	82947	14	$58	$34.8	$3.56	$23.2	$3,704
Hemoglobin A1c	CPT	83036	14	$124	$74.4	$7.7	$51.53	$3,704
Thyroid stimulating hormone (TSH)	CPT	84443	14	$149	$89.4	$15.24	$71.94	$3,704
Complete blood count with automated differential	CPT	85025	14	$149	$89.4	$6.6	$59.6	$3,704
Complete blood count without differential	CPT	85027	14	$85	$51	$5.87	$34	$3,704
Urine culture bacterial	CPT	87086	14	$141	$84.6	$7.32	$56.4	$3,704
Urine culture identification	CPT	87088	14	$68	$40.8	$7.34	$33.32	$3,704
Tissue exam by pathologist level IV	CPT	88305	14	$282	$169.2	$27.8	$112.8	$3,704
maternity
Fetal non-stress test	CPT	59025	13	$444	$266.4	$19.25	$257.52	$3,704
office
Office visit, new patient, 15-29 min	CPT	99202	13	$360	$216	$36.08	$216	$3,704
Office visit, new patient, 30-44 minutes	CPT	99203	13	$469	$281.4	$36.08	$281.4	$3,704
Office visit, new patient, 45-59 min	CPT	99204	13	$598	$358.8	$36.08	$358.8	$3,704
Office visit, new patient, 60-74 min	CPT	99205	13	$877	$526.2	$36.08	$526.2	$3,704
Office visit, established patient, 5 min	CPT	99211	13	$216	$129.6	$22	$129.6	$3,704
Office visit, established patient, 10-19 min	CPT	99212	13	$243	$145.8	$28.6	$145.8	$3,704
Office visit, established patient, 20-29 minutes	CPT	99213	13	$311	$186.6	$36.08	$186.6	$3,704
Office visit, established patient, 30-39 minutes	CPT	99214	13	$336	$201.6	$36.08	$201.6	$3,704
Office visit, established patient, 40-54 min	CPT	99215	13	$485	$291	$36.08	$291	$3,704
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	$2,597	$1,558.2	$137.74	$1,414.58	$3,704
Upper GI endoscopy with biopsy	CPT	43239	13	$3,554	$2,132.4	$163.44	$1,894.12	$3,704
Sigmoidoscopy diagnostic	CPT	45330	7	—	—	$58.47	$868.79	$1,069.9
Sigmoidoscopy with biopsy	CPT	45331	13	$2,597	$1,558.2	$70.04	$1,414.58	$3,704
Colonoscopy diagnostic	CPT	45378	13	$2,500	$1,500	$198.55	$1,450	$3,704
Colonoscopy with biopsy	CPT	45380	13	$3,554	$2,132.4	$247.96	$1,894.12	$3,704
Colonoscopy with polyp removal	CPT	45385	13	$3,554	$2,132.4	$294.89	$1,894.12	$3,704
surgery
Total shoulder arthroplasty	CPT	23472	7	—	—	$5,023.39	$18,004	$19,286
PCI w drug-eluting stent w MCC	MS-DRG	246	1	—	—	$9,223.57	$9,223.57	$9,223.57
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$9,223.57	$9,223.57	$9,223.57
Total hip replacement	CPT	27130	7	—	—	$5,007.31	$12,758	$16,375
Total knee replacement	CPT	27447	7	—	—	$5,733.59	$12,758	$16,375
Shoulder arthroscopy with decompression	CPT	29826	3	—	—	$1,254.48	$2,275.56	$2,676.36
Shoulder arthroscopy with rotator cuff repair	CPT	29827	7	—	—	$1,701.81	$6,993.9	$7,491.76
Knee arthroscopy with meniscectomy	CPT	29881	7	—	—	$597.85	$2,949.36	$3,402.68
ACL reconstruction	CPT	29888	7	—	—	$1,254.18	$6,993.9	$7,491.76
Major small/large bowel procedures w MCC	MS-DRG	329	8	—	—	$3,704	$36,098	$49,984
Major small/large bowel procedures w CC	MS-DRG	330	8	—	—	$3,704	$19,025	$30,737
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	8	—	—	$3,704	$13,480	$23,100
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	8	—	—	$3,704	$13,548	$22,146
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	8	—	—	$3,704	$11,019	$18,414
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	8	—	—	$3,704	$26,865	$58,002
Laparoscopic appendectomy	CPT	44970	7	—	—	$1,067.82	$5,711.99	$6,118.6
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$3,704	$6,463.79	$9,223.57
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$3,704	$6,463.79	$9,223.57
Major joint replacement w MCC	MS-DRG	469	8	—	—	$3,704	$23,962	$38,547
Major joint replacement w/o MCC	MS-DRG	470	8	—	—	$3,704	$15,390	$20,931
Laparoscopic cholecystectomy	CPT	47562	7	—	—	$1,414.39	$5,711.99	$6,118.6
Lap cholecystectomy with cholangiography	CPT	47563	7	—	—	$1,521.52	$5,711.99	$6,118.6
Hip & femur procedures except major joint w MCC	MS-DRG	480	8	—	—	$3,704	$23,024	$44,239
Hip & femur procedures except major joint w CC	MS-DRG	481	8	—	—	$3,704	$16,676	$31,032
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	8	—	—	$3,704	$13,078	$22,476
Lap inguinal hernia repair	CPT	49650	7	—	—	$818.32	$5,711.99	$6,118.6
Vaginal hysterectomy	CPT	58260	7	—	—	$2,086.65	$4,832.91	$5,176.94
Lap-assisted vaginal hysterectomy >250g	CPT	58552	7	—	—	$1,582.65	$10,193	$10,918
Lap salpingo-oophorectomy	CPT	58661	7	—	—	$1,365.27	$5,711.99	$6,118.6
OR procedure for obesity w MCC	MS-DRG	619	7	—	—	$3,704	$22,832	$37,974
OR procedure for obesity w CC	MS-DRG	620	7	—	—	$3,704	$12,840	$22,163
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	—	—	$3,704	$12,126	$17,894
Complex cataract surgery	CPT	66982	7	—	—	$1,410.32	$2,283.12	$4,618.47
Cataract surgery with lens implant	CPT	66984	7	—	—	$662.78	$2,261.38	$4,618.47
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	—	—	$3,704	$10,048	$15,151
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	—	—	$3,704	$16,097	$17,836
Left heart catheterization	CPT	93452	13	$9,493	$5,695.8	$1,257.63	$5,363.55	$8,069.05
Coronary angiography with bypass cath	CPT	93458	13	$13,450	$8,070	$1,564.8	$7,599.25	$11,433

Payer mix (top 14)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	159	$502.74
upmc health plan	159	$339.41
pa health & wellness	158	$248.89
amerihealth caritas	158	$242.5
Aetna	158	$473.86
UnitedHealthcare	158	$253.5
upmc work partners	149	$845.68
intergroup	144	$1,688.05
health coalition partners	99	$732.96
Humana	99	$865.3
private health care systems	99	$814.4
Cigna	99	$604.75
First Health	99	$712.6
geisinger	16	$8.13