Does UPMC Northwest publish its standard charges and chargemaster?

Yes. UPMC Northwest publishes a machine-readable file with 39,754 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does UPMC Northwest charge for procedures?

UPMC Northwest (Seneca, PA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · PA · CCN 390091

UPMC Northwest

Seneca, PA, 16346

138 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

39,754

last crawl 2026-05-24

Procedures tracked

163

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All PA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

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

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	7	—	—	$3,704	$10,948	0.85×	$12,303
emergency
ED visit level 1	CPT	99281	13	$355	$213	$51.26	$205.9	1.5×	$3,704
ED visit level 2	CPT	99282	13	$442	$265.2	$36.28	$215.55	0.91×	$3,704
ED visit level 3	CPT	99283	13	$561	$336.6	$62.31	$290.38	0.72×	$3,704
ED visit level 4	CPT	99284	13	$950	$570	$104.86	$446.57	0.67×	$3,704
ED visit level 5	CPT	99285	13	$1,172	$703.2	$152.61	$631.28	0.61×	$3,704
Critical care, first hour	CPT	99291	13	$2,105	$1,263	$166.79	$867.6	0.81×	$3,704
imaging
CT head without contrast	CPT	70450	13	$2,044	$1,226.4	$91.94	$817.6	3.9×	$3,704
CT head with contrast	CPT	70460	13	$2,280	$1,368	$147.4	$912	3.9×	$3,704
CT head with and without contrast	CPT	70470	13	$2,555	$1,533	$153.92	$1,022	3.8×	$3,704
CT neck with contrast	CPT	70491	13	$2,280	$1,368	$151.25	$912	3.3×	$3,704
MRI brain without contrast	CPT	70551	13	$3,675	$2,205	$209	$1,472.28	3.6×	$3,704
MRI brain with contrast	CPT	70552	13	$4,083	$2,449.8	$308.78	$1,768.25	3.7×	$3,704
MRI brain with and without contrast	CPT	70553	13	$6,379	$3,827.4	$308.78	$3,121.32	5.3×	$5,422.15
Chest X-ray single view	CPT	71045	13	$181	$108.6	$16.69	$90.67	0.96×	$3,704
Chest X-ray 2 views	CPT	71046	13	$235	$141	$26	$94	0.96×	$3,704
Chest X-ray 3 views	CPT	71047	13	$364	$218.4	$33.23	$145.6	1.5×	$3,704
CT chest without contrast	CPT	71250	13	$2,044	$1,226.4	$91.94	$838.32	3.9×	$3,704
CT chest with contrast	CPT	71260	13	$2,280	$1,368	$153.92	$979.09	3.5×	$3,704
CT chest with and without contrast	CPT	71270	13	$2,555	$1,533	$153.92	$1,194.26	4.1×	$3,704
MRI chest without contrast	CPT	71550	13	$3,675	$2,205	$209	$1,492.78	3.5×	$3,704
MRI chest with and without contrast	CPT	71552	13	$6,359	$3,815.4	$308.78	$2,580.61	4.3×	$5,405.15
Lumbosacral spine X-ray	CPT	72100	13	$258	$154.8	$34.3	$111.52	1.1×	$3,704
CT cervical spine without contrast	CPT	72125	13	$2,280	$1,368	$91.94	$912	4.5×	$3,704
CT thoracic spine without contrast	CPT	72128	13	$2,280	$1,368	$91.94	$912	4.6×	$3,704
CT lumbar spine without contrast	CPT	72131	13	$2,280	$1,368	$91.94	$912	4.5×	$3,704
MRI cervical spine without contrast	CPT	72141	13	$3,675	$2,205	$209	$1,492.78	3.8×	$3,704
MRI thoracic spine without contrast	CPT	72146	13	$3,675	$2,205	$209	$1,628.25	4.4×	$3,704
MRI lumbar spine without contrast	CPT	72148	13	$3,675	$2,205	$209	$1,607.79	4.3×	$3,704
MRI lumbar spine with and without contrast	CPT	72149	13	$4,083	$2,449.8	$308.78	$1,768.25	3.9×	$3,704
MRI cervical spine with and without contrast	CPT	72156	13	$6,440	$3,864	$308.78	$3,153.45	5.8×	$5,474
MRI lumbar spine with contrast	CPT	72158	13	$6,379	$3,827.4	$308.78	$3,121.32	5.7×	$5,422.15
CT pelvis without contrast	CPT	72192	13	$2,044	$1,226.4	$91.94	$826.31	4.1×	$3,704
CT pelvis with contrast	CPT	72193	13	$2,280	$1,368	$153.92	$940.11	3.3×	$3,704
Shoulder X-ray	CPT	73030	13	$197	$118.2	$28.59	$113.84	1.2×	$3,704
Humerus X-ray	CPT	73060	13	$199	$119.4	$28.02	$114.45	1.3×	$3,704
Hand X-ray 3 views	CPT	73130	13	$199	$119.4	$26.77	$112.44	1.2×	$3,704
MRI upper extremity joint without contrast	CPT	73221	13	$3,675	$2,205	$209	$2,168.25	5.2×	$3,704
MRI upper extremity joint with and without contrast	CPT	73223	13	$6,359	$3,815.4	$308.78	$3,696.11	6.0×	$5,405.15
Knee X-ray 1-2 views	CPT	73560	13	$199	$119.4	$30.18	$112.44	1.2×	$3,704
Ankle X-ray 3 views	CPT	73610	13	$199	$119.4	$26.26	$112.44	1.2×	$3,704
MRI lower extremity joint without contrast	CPT	73721	13	$3,675	$2,205	$209	$2,168.25	4.6×	$3,704
MRI lower extremity joint with and without contrast	CPT	73723	13	$6,359	$3,815.4	$308.78	$3,696.11	5.8×	$5,405.15
CT abdomen without contrast	CPT	74150	13	$2,044	$1,226.4	$91.94	$817.6	4.3×	$3,704
CT abdomen with contrast	CPT	74160	13	$2,280	$1,368	$153.92	$958.49	3.3×	$3,704
CT abdomen with and without contrast	CPT	74170	13	$2,555	$1,533	$153.92	$1,159.86	3.5×	$3,704
CT abdomen and pelvis without contrast	CPT	74176	13	$2,044	$1,226.4	$185.12	$1,185.52	3.3×	$3,704
CT abdomen and pelvis with contrast	CPT	74177	13	$2,280	$1,368	$289.48	$1,322.4	2.4×	$3,704
CT abdomen and pelvis with and without contrast	CPT	74178	13	$2,555	$1,533	$308.78	$1,481.9	2.6×	$3,704
MRI abdomen without contrast	CPT	74181	13	$3,675	$2,205	$209	$1,492.78	3.8×	$3,704
MRI abdomen with and without contrast	CPT	74183	13	$6,359	$3,815.4	$308.78	$2,597.64	4.6×	$5,405.15
Abdominal ultrasound complete	CPT	76700	13	$940	$564	$91.94	$376	2.5×	$3,704
Abdominal ultrasound limited	CPT	76705	13	$525	$315	$68.75	$253.13	1.7×	$3,704
Retroperitoneal ultrasound complete	CPT	76770	13	$1,065	$639	$89.65	$426	3.0×	$3,704
Obstetric ultrasound first trimester	CPT	76801	13	$1,018	$610.8	$91.94	$407.2	2.9×	$3,704
Obstetric ultrasound after first trimester	CPT	76805	13	$1,018	$610.8	$85.25	$407.2	2.7×	$3,704
Transvaginal ultrasound	CPT	76830	13	$590	$354	$84.15	$282.51	1.9×	$3,704
Pelvic ultrasound complete	CPT	76856	13	$817	$490.2	$84.15	$326.8	2.3×	$3,704
Scrotal ultrasound	CPT	76870	13	$817	$490.2	$81.4	$326.8	2.5×	$3,704
Diagnostic mammography unilateral	CPT	77065	12	$812	$487.2	$112.65	$494.1	3.3×	$3,704
Diagnostic mammography bilateral	CPT	77066	12	$986	$591.6	$142.84	$599.98	3.2×	$3,704
Screening mammography bilateral	CPT	77067	12	$342	$205.2	$85.5	$211.53	1.3×	$3,704
EKG tracing only	CPT	93005	13	$246	$147.6	$11.51	$98.4	0.83×	$3,704
Transthoracic echocardiogram complete	CPT	93306	13	$3,034	$1,820.4	$155.12	$1,213.6	2.0×	$3,704
Transthoracic echocardiogram	CPT	93307	13	$1,709	$1,025.4	$154.42	$683.6	2.8×	$3,704
Stress echocardiogram	CPT	93350	13	$1,044	$626.4	$84.15	$605.52	1.2×	$3,704
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	8	—	—	$3,704	$16,027	0.79×	$24,367
Intracranial hemorrhage/CVA w CC	MS-DRG	065	8	—	—	$3,704	$8,260	0.77×	$15,308
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	8	—	—	$3,704	$5,729.9	0.75×	$11,958
Respiratory infections & inflammations w MCC	MS-DRG	177	8	—	—	$3,704	$12,547	0.81×	$18,779
COPD w MCC	MS-DRG	190	8	—	—	$3,704	$9,016.14	0.80×	$12,670
COPD w CC	MS-DRG	191	8	—	—	$3,704	$6,961.17	0.79×	$11,194
COPD w/o CC/MCC	MS-DRG	192	8	—	—	$3,704	$5,400.71	0.77×	$9,223.57
Simple pneumonia & pleurisy w CC	MS-DRG	194	8	—	—	$3,704	$6,673.15	0.79×	$10,604
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	8	—	—	$3,704	$5,295.91	0.79×	$9,223.57
AMI discharged alive w MCC	MS-DRG	280	8	—	—	$3,704	$12,869	0.82×	$19,022
AMI discharged alive w CC	MS-DRG	281	8	—	—	$3,704	$7,551.95	0.78×	$13,121
AMI discharged alive w/o CC/MCC	MS-DRG	282	8	—	—	$3,704	$6,030.33	0.77×	$11,837
Heart failure & shock w MCC	MS-DRG	291	8	—	—	$3,704	$10,382	0.81×	$14,700
Heart failure & shock w CC	MS-DRG	292	8	—	—	$3,704	$7,007.75	0.78×	$10,032
Heart failure & shock w/o CC/MCC	MS-DRG	293	8	—	—	$3,704	$4,810.26	0.77×	$9,223.57
Cardiac arrhythmia w MCC	MS-DRG	308	8	—	—	$3,704	$9,762.84	0.81×	$13,642
Cardiac arrhythmia w CC	MS-DRG	309	8	—	—	$3,704	$6,128.15	0.79×	$9,223.57
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	8	—	—	$3,704	$4,811.03	0.78×	$9,223.57
GI hemorrhage w CC	MS-DRG	378	8	—	—	$3,704	$8,030.2	0.80×	$13,364
GI hemorrhage w/o CC/MCC	MS-DRG	379	8	—	—	$3,704	$5,310.67	0.78×	$9,424.1
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	8	—	—	$3,704	$6,468.96	0.80×	$9,223.57
Fractures of femur w/o MCC	MS-DRG	533	7	—	—	$3,704	$12,587	0.83×	$26,519
Kidney/UTI w MCC	MS-DRG	689	7	—	—	$3,704	$9,424.06	0.81×	$15,828
Kidney/UTI w/o MCC	MS-DRG	690	7	—	—	$3,704	$6,700.78	0.81×	$8,660.45
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	—	—	$3,704	$15,496	0.83×	$24,333
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	—	—	$3,704	$8,360.53	0.81×	$12,427
lab
Basic metabolic panel (BMP)	CPT	80048	14	$141	$84.6	$7.67	$57.37	1.8×	$3,704
Electrolyte panel	CPT	80051	14	$85	$51	$6.36	$40.38	1.7×	$3,704
Comprehensive metabolic panel	CPT	80053	14	$211	$126.6	$9.58	$84.4	1.9×	$3,704
Lipid panel	CPT	80061	14	$222	$133.2	$12.14	$88.8	2.3×	$3,704
Renal function panel	CPT	80069	14	$175	$105	$7.87	$70	2.6×	$3,704
Hepatic function panel	CPT	80076	14	$331	$198.6	$7.41	$132.4	5.0×	$3,704
Urinalysis non-automated	CPT	81002	14	$31	$18.6	$3.16	$15.19	2.2×	$3,704
Urinalysis automated	CPT	81003	14	$29	$17.4	$2.04	$13.74	0.99×	$3,704
Glucose quantitative	CPT	82947	14	$58	$34.8	$3.56	$23.2	1.3×	$3,704
Hemoglobin A1c	CPT	83036	14	$124	$74.4	$7.7	$51.53	1.9×	$3,704
Thyroid stimulating hormone (TSH)	CPT	84443	14	$149	$89.4	$15.24	$71.94	1.5×	$3,704
Complete blood count with automated differential	CPT	85025	14	$149	$89.4	$6.6	$59.6	2.2×	$3,704
Complete blood count without differential	CPT	85027	14	$85	$51	$5.87	$34	1.6×	$3,704
Urine culture bacterial	CPT	87086	14	$141	$84.6	$7.32	$56.4	2.4×	$3,704
Urine culture identification	CPT	87088	14	$68	$40.8	$7.34	$33.32	1.5×	$3,704
Tissue exam by pathologist level IV	CPT	88305	14	$282	$169.2	$27.8	$112.8	1.1×	$3,704
maternity
Fetal non-stress test	CPT	59025	13	$444	$266.4	$19.25	$257.52	1.4×	$3,704
office
Office visit, new patient, 15-29 min	CPT	99202	13	$360	$216	$36.08	$216	2.5×	$3,704
Office visit, new patient, 30-44 minutes	CPT	99203	13	$469	$281.4	$36.08	$281.4	2.3×	$3,704
Office visit, new patient, 45-59 min	CPT	99204	13	$598	$358.8	$36.08	$358.8	2.1×	$3,704
Office visit, new patient, 60-74 min	CPT	99205	13	$877	$526.2	$36.08	$526.2	2.4×	$3,704
Office visit, established patient, 5 min	CPT	99211	13	$216	$129.6	$22	$129.6	2.0×	$3,704
Office visit, established patient, 10-19 min	CPT	99212	13	$243	$145.8	$28.6	$145.8	1.8×	$3,704
Office visit, established patient, 20-29 minutes	CPT	99213	13	$311	$186.6	$36.08	$186.6	1.6×	$3,704
Office visit, established patient, 30-39 minutes	CPT	99214	13	$336	$201.6	$36.08	$201.6	1.3×	$3,704
Office visit, established patient, 40-54 min	CPT	99215	13	$485	$291	$36.08	$291	1.5×	$3,704
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	$2,597	$1,558.2	$137.74	$1,414.58	1.5×	$3,704
Upper GI endoscopy with biopsy	CPT	43239	13	$3,554	$2,132.4	$163.44	$1,894.12	2.0×	$3,704
Sigmoidoscopy diagnostic	CPT	45330	7	—	—	$58.47	$868.79	1.0×	$1,069.9
Sigmoidoscopy with biopsy	CPT	45331	13	$2,597	$1,558.2	$70.04	$1,414.58	1.6×	$3,704
Colonoscopy diagnostic	CPT	45378	13	$2,500	$1,500	$198.55	$1,450	1.7×	$3,704
Colonoscopy with biopsy	CPT	45380	13	$3,554	$2,132.4	$247.96	$1,894.12	1.6×	$3,704
Colonoscopy with polyp removal	CPT	45385	13	$3,554	$2,132.4	$294.89	$1,894.12	1.6×	$3,704
surgery
Total shoulder arthroplasty	CPT	23472	7	—	—	$5,023.39	$18,004	4.4×	$19,286
PCI w drug-eluting stent w MCC	MS-DRG	246	1	—	—	$9,223.57	$9,223.57	0.33×	$9,223.57
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$9,223.57	$9,223.57	0.50×	$9,223.57
Total hip replacement	CPT	27130	7	—	—	$5,007.31	$12,758	2.9×	$16,375
Total knee replacement	CPT	27447	7	—	—	$5,733.59	$12,758	3.1×	$16,375
Shoulder arthroscopy with decompression	CPT	29826	3	—	—	$1,254.48	$2,275.56	7.0×	$2,676.36
Shoulder arthroscopy with rotator cuff repair	CPT	29827	7	—	—	$1,701.81	$6,993.9	2.1×	$7,491.76
Knee arthroscopy with meniscectomy	CPT	29881	7	—	—	$597.85	$2,949.36	1.4×	$3,402.68
ACL reconstruction	CPT	29888	7	—	—	$1,254.18	$6,993.9	2.1×	$7,491.76
Major small/large bowel procedures w MCC	MS-DRG	329	8	—	—	$3,704	$36,098	0.84×	$49,984
Major small/large bowel procedures w CC	MS-DRG	330	8	—	—	$3,704	$19,025	0.82×	$30,737
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	8	—	—	$3,704	$13,480	0.82×	$23,100
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	8	—	—	$3,704	$13,548	0.82×	$22,146
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	8	—	—	$3,704	$11,019	0.81×	$18,414
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	8	—	—	$3,704	$26,865	0.83×	$58,002
Laparoscopic appendectomy	CPT	44970	7	—	—	$1,067.82	$5,711.99	3.7×	$6,118.6
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$3,704	$6,463.79	0.13×	$9,223.57
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$3,704	$6,463.79	0.19×	$9,223.57
Major joint replacement w MCC	MS-DRG	469	8	—	—	$3,704	$23,962	0.81×	$38,547
Major joint replacement w/o MCC	MS-DRG	470	8	—	—	$3,704	$15,390	0.81×	$20,931
Laparoscopic cholecystectomy	CPT	47562	7	—	—	$1,414.39	$5,711.99	3.2×	$6,118.6
Lap cholecystectomy with cholangiography	CPT	47563	7	—	—	$1,521.52	$5,711.99	3.0×	$6,118.6
Hip & femur procedures except major joint w MCC	MS-DRG	480	8	—	—	$3,704	$23,024	0.82×	$44,239
Hip & femur procedures except major joint w CC	MS-DRG	481	8	—	—	$3,704	$16,676	0.82×	$31,032
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	8	—	—	$3,704	$13,078	0.82×	$22,476
Lap inguinal hernia repair	CPT	49650	7	—	—	$818.32	$5,711.99	5.1×	$6,118.6
Vaginal hysterectomy	CPT	58260	7	—	—	$2,086.65	$4,832.91	2.7×	$5,176.94
Lap-assisted vaginal hysterectomy >250g	CPT	58552	7	—	—	$1,582.65	$10,193	4.6×	$10,918
Lap salpingo-oophorectomy	CPT	58661	7	—	—	$1,365.27	$5,711.99	2.8×	$6,118.6
OR procedure for obesity w MCC	MS-DRG	619	7	—	—	$3,704	$22,832	0.84×	$37,974
OR procedure for obesity w CC	MS-DRG	620	7	—	—	$3,704	$12,840	0.79×	$22,163
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	—	—	$3,704	$12,126	0.80×	$17,894
Complex cataract surgery	CPT	66982	7	—	—	$1,410.32	$2,283.12	1.0×	$4,618.47
Cataract surgery with lens implant	CPT	66984	7	—	—	$662.78	$2,261.38	1.0×	$4,618.47
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	—	—	$3,704	$10,048	0.82×	$15,151
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	—	—	$3,704	$16,097	0.84×	$17,836
Left heart catheterization	CPT	93452	13	$9,493	$5,695.8	$1,257.63	$5,363.55	1.7×	$8,069.05
Coronary angiography with bypass cath	CPT	93458	13	$13,450	$8,070	$1,564.8	$7,599.25	2.4×	$11,433

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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

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