UPMC · Seneca, PA
29
In-network payers
182
Disclosed rate categories
158
Beds
4
Care quality
Upmc Northwest is a 158-bed voluntary non-profit - other hospital in Seneca, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 182 disclosed rate categories.
CCN (Medicare provider number)
390091
NPI
1619069440
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
158
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Northwest most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,625 - $7,014
from 2 insurers · median $6,319
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,824 - $10,828
from 2 insurers · median $9,326
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Gynecology
CPT 58558
$2,723 - $3,561
from 3 insurers · median $3,259
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$358 - $1,583
from 4 insurers · median $1,265
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,625 - $7,014
from 2 insurers · median $6,319
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 70450
$112 - $1,053
from 4 insurers · median $742
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,503 - $9,689
from 4 insurers · median $8,527
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$375 - $3,470
from 4 insurers · median $3,192
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$549 - $1,664
from 4 insurers · median $1,271
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,453 - $7,005
from 3 insurers · median $5,145
83 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$939 - $2,226
from 4 insurers · median $2,017
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$242 - $1,532
from 4 insurers · median $974
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$187 - $1,431
from 4 insurers · median $1,332
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$19,280 - $24,400
from 2 insurers · median $21,840
Hospital reports neurosurgical services to CMS
MRI imaging
CPT 74183
$375 - $3,734
from 4 insurers · median $3,254
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,180 - $1,830
from 4 insurers · median $1,779
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$888 - $1,830
from 4 insurers · median $1,408
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$15,320 - $18,961
from 2 insurers · median $17,140
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70551
$254 - $1,907
from 4 insurers · median $1,836
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,269 - $5,980
from 3 insurers · median $5,348
14 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$120 - $215
from 4 insurers · median $154
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55700
$2,051 - $2,213
from 3 insurers · median $2,117
109 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Gynecology
CPT 58571
$5,221 - $10,670
from 4 insurers · median $7,314
Typical for a hospital with this service line
MRI imaging
CPT 73721
$248 - $2,188
from 4 insurers · median $1,809
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 432% | 10 | 3 |
| Insurer B* | 24 | 342% | 12 | 8 |
| Insurer C* | 18 | 333% | 17 | 1 |
| Insurer D* | 24 | 101% | 2 | 19 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Northwest.
100 Fairfield Drive, Seneca, PA 16346
(814) 676-7600
The nearest hospitals of similar type and size. Their rates are compared with Upmc Northwest for the same insurers and services above.
Meadville Medical Center
▼ Rates typically 29% lower than Upmc Northwest (21 services)
Butler Memorial Hospital
▼ Rates typically 8% lower than Upmc Northwest (21 services)
Acmh Hospital
▼ Rates typically 30% lower than Upmc Northwest (19 services)
Warren General Hospital
Rates about the same as Upmc Northwest (21 services)
Sharon Regional Medical Center
▼ Rates typically 22% lower than Upmc Northwest (21 services)
Dubois Regional Medical Center
Rates about the same as Upmc Northwest (21 services)
Upmc Passavant - Cranberry
Upmc Horizon - Shenango Valley
Upmc East
Upmc Mckeesport
About Upmc Northwest's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Northwest range from $375 to $3,470 across 4 insurers. Blue Cross Blue Shield's rate is $3,470. The median at nearby comparable hospitals is $702. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Northwest range from $358 to $1,583 across 4 insurers. Aetna's rate is $1,355. The median at nearby comparable hospitals is $715. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Upmc Northwest range from $1,180 to $1,830 across 4 insurers. Cigna's rate is $1,830. The median at nearby comparable hospitals is $2,408. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Northwest range from $5,625 to $7,014 across 2 insurers. Blue Cross Blue Shield's rate is $7,014. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Northwest range from $120 to $215 across 4 insurers. Blue Cross Blue Shield's rate is $131. The median at nearby comparable hospitals is $196. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Northwest range from $15,320 to $18,961 across 2 insurers. UnitedHealthcare's rate is $15,320. The median at nearby comparable hospitals is $18,813. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Northwest has 158 beds. Facility type: Short Term Acute Care Hospital.
Upmc Northwest is located at 100 Fairfield Drive, Seneca, PA 16346. Its main phone number is (814) 676-7600.
Upmc Northwest's CMS Certification Number (CCN), also called its Medicare provider number, is 390091.
The National Provider Identifier (NPI) on file for Upmc Northwest is 1619069440.
Upmc Northwest is affiliated with UPMC.
Upmc Northwest lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
182 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers