Hospitals / PA

UPMC Northwest Pricing Analysis

Source: Hospital MRF file & CMS Medicare PFS 2026

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Fairness Grade

C

Average Cost

Price Multiplier

34x

the federal fair-price benchmark

Procedures Priced

2,104

100 comparable to federal rates

What does this mean for your bill? This hospital charges 34x or more above the government benchmark — among the most expensive. For example, a procedure the government prices at $100 would cost about $3,400 at this hospital's list price. If you're uninsured or out-of-network, you may be able to negotiate down significantly.

Check a specific procedure price

Use our price checker to look up any of 7,700+ procedures and see what Medicare considers a fair price.

Price Checker

Biggest Overcharges at This Hospital

These are the procedures where UPMC Northwestcharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.

Note:This hospital's published data mainly includes major surgical procedures. These charges include the cost of implanted devices (like pacemakers or joint replacements) and facility fees — not just the surgeon's work. The government benchmark shown only reflects the surgeon's fee, so the difference looks larger than it is for these procedures.
ProcedureCodeThey ChargeGov. BenchmarkYou Overpay
REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT OF PACEMAKER PULSE GENERATOR; DUAL LEAD SYSTEM33228$26,239$315+$25,923
INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, REQUIRING POCKET CREATION AND CONNECTION BETWEEN ELECTRODE ARRAY AND PULSE GENERATOR OR RECEIVER64590$21,842$428+$21,414

About UPMC Northwest Pricing

UPMC Northwest in Seneca, PA charges 34x or more above the government benchmark — among the most expensive across 100procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.

What this means for your bill

If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.

Can I negotiate?

Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.

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