Complx repair enel 2.6-7.5 cm 13152 at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$281.40
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.
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What you pay up front if you don't use insurance.
$469.00
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.
$257.95 with Geisinger vs $2,439.85 with BCBS of Western NY — 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $257.95 | ↓ -8% |
| UPMC Health Plan | Commercial | $281.40 | ↑ +0% |
| United Healthcare | Commercial | $300.16 | ↑ +7% |
| Aetna | Commercial | $304.85 | ↑ +8% |
| MagnaCare | Workers Compensation | $351.75 | ↑ +25% |
| MagnaCare | PPO | $351.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $351.75 | ↑ +25% |
| MagnaCare | No Fault | $351.75 | ↑ +25% |
| MagnaCare | Direct Plus | $351.75 | ↑ +25% |
| Humana | Commercial | $351.75 | ↑ +25% |
| GHI/Emblem Health | Commercial | $375.20 | ↑ +33% |
| Statewide Independent PPO | PPO | $412.72 | ↑ +47% |
| Affordable First Health | PPO | $422.10 | ↑ +50% |
| Beacon | Medicare Advantage | $747.91 | ↑ +166% |
| Humana | Medicare | $747.91 | ↑ +166% |
| United Healthcare | Medicare | $747.91 | ↑ +166% |
| UPMC Health Plan | Managed Medicare | $747.91 | ↑ +166% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $747.91 | ↑ +166% |
| Fidelis | Medicare | $747.91 | ↑ +166% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $762.87 | ↑ +171% |
| Independent Health | Commercial | $763.62 | ↑ +171% |
| Wellcare | Medicare | $770.35 | ↑ +174% |
| Aetna | Medicare | $777.83 | ↑ +176% |
| Independent Health | Medicare Advantage | $921.57 | ↑ +227% |
| Beacon | Commercial | $934.89 | ↑ +232% |
| Univera | Essential Plan | $974.00 | ↑ +246% |
| BCBS of Western NY | Medicaid | $1,268.60 | ↑ +351% |
| Univera | Medicare Advantage | $1,544.00 | ↑ +449% |
| BCBS of Western NY | Commercial | $2,439.85 | ↑ +767% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $750.00 | $447.00 – $888.92 |
| Bellevue Hospital Center | NY 10016 | $755.08 | $0.01 – $1,383.86 |
| Harlem Hospital Center | New York | $724.37 | $0.01 – $1,042.51 |
| Kings County Hospital Center | Brooklyn | $755.08 | $0.01 – $1,383.86 |
| Lincoln Medical Center | Bronx | $724.37 | $0.01 – $1,042.51 |
| Metropolitan Hospital Center | New York | $724.37 | $0.01 – $1,042.51 |
| Queens Hospital Center | Jamaica | $755.08 | $0.01 – $1,383.86 |
| Woodhull Medical Center | Brooklyn | $755.08 | $0.01 – $1,383.86 |