Arsenic trioxide 2 mg/ml intravenous solution at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$85.80
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.
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What you pay up front if you don't use insurance.
$143.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$8.15 with UPMC Health Plan vs $128.70 with Affordable First Health — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $8.15 | ↓ -91% |
| Humana | Medicare | $8.15 | ↓ -91% |
| Beacon | Medicare Advantage | $8.15 | ↓ -91% |
| United Healthcare | Medicare | $8.15 | ↓ -91% |
| Fidelis | Medicare | $8.15 | ↓ -91% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $8.15 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $8.15 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $8.31 | ↓ -90% |
| Wellcare | Medicare | $8.39 | ↓ -90% |
| Aetna | Medicare | $8.48 | ↓ -90% |
| Beacon | Commercial | $10.19 | ↓ -88% |
| Univera | Medicare Advantage | $13.70 | ↓ -84% |
| Independent Health | Medicare Advantage | $15.12 | ↓ -82% |
| Independent Health | Commercial | $15.12 | ↓ -82% |
| BCBS of Western NY | Commercial | $20.44 | ↓ -76% |
| UPMC Health Plan | Commercial | $85.80 | ↑ +0% |
| United Healthcare | Commercial | $91.52 | ↑ +7% |
| Aetna | Commercial | $92.95 | ↑ +8% |
| MagnaCare | Direct Plus | $107.25 | ↑ +25% |
| MagnaCare | PPO | $107.25 | ↑ +25% |
| MagnaCare | No Fault | $107.25 | ↑ +25% |
| MagnaCare | Workers Compensation | $107.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $107.25 | ↑ +25% |
| Humana | Commercial | $107.25 | ↑ +25% |
| GHI/Emblem Health | Commercial | $114.40 | ↑ +33% |
| Statewide Independent PPO | PPO | $125.84 | ↑ +47% |
| Affordable First Health | PPO | $128.70 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |