Aco med nutria tx/group, ea 30 min 97804aco at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$20.40
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.
?
What you pay up front if you don't use insurance.
$34.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.58 with MagnaCare vs $60.80 with Molina Healthcare of NY — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MagnaCare | Workers Compensation | $5.58 | ↓ -73% |
| MagnaCare | No Fault | $5.58 | ↓ -73% |
| Univera | Medicare Advantage | $15.41 | ↓ -24% |
| Geisinger | Medicaid/CHIP | $18.70 | ↓ -8% |
| Aetna | Medicare | $20.35 | ↓ -0% |
| UPMC Health Plan | Commercial | $20.40 | ↑ +0% |
| United Healthcare | Commercial | $21.76 | ↑ +7% |
| Aetna | Commercial | $22.10 | ↑ +8% |
| Humana | Commercial | $25.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $25.50 | ↑ +25% |
| MagnaCare | PPO | $25.50 | ↑ +25% |
| MagnaCare | Direct Plus | $25.50 | ↑ +25% |
| Independent Health | Medicare Advantage | $26.30 | ↑ +29% |
| Fidelis | Child Health Plus | $27.02 | ↑ +32% |
| Fidelis | Family Health Plus/Medicaid | $27.02 | ↑ +32% |
| Beacon | Managed Medicaid | $27.02 | ↑ +32% |
| Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $27.02 | ↑ +32% |
| UHC Medicaid NY | Medicaid | $27.02 | ↑ +32% |
| BCBS of Western NY | Essential Plans 3&4 | $27.02 | ↑ +32% |
| GHI/Emblem Health | Commercial | $27.20 | ↑ +33% |
| Univera | CHIP (For Kids)/HARP/NY Medicaid | $28.37 | ↑ +39% |
| Statewide Independent PPO | PPO | $29.92 | ↑ +47% |
| Independent Health | Commercial | $30.38 | ↑ +49% |
| Affordable First Health | PPO | $30.60 | ↑ +50% |
| BCBS of Western NY | Essential Plans 1&2 | $32.42 | ↑ +59% |
| CORVEL | WC | $36.48 | ↑ +79% |
| BCBS of Western NY | Medicaid | $44.84 | ↑ +120% |
| Fidelis | Essential Plan | $60.80 | ↑ +198% |
| Molina Healthcare of NY | Essential Plan | $60.80 | ↑ +198% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $16.69 | $11.35 – $24.03 |
| Harlem Hospital Center | New York | $16.99 | $11.51 – $24.03 |
| Kings County Hospital Center | Brooklyn | $16.99 | $11.51 – $24.47 |
| Lincoln Medical Center | Bronx | $16.99 | $11.51 – $24.47 |
| Metropolitan Hospital Center | New York | $16.69 | $11.35 – $24.47 |
| Queens Hospital Center | Jamaica | $16.82 | $11.38 – $24.22 |
| Woodhull Medical Center | Brooklyn | $16.99 | $11.51 – $24.47 |
| South Brooklyn Health | Brooklyn | $16.99 | $11.51 – $24.47 |