healthcosts.net
Diagnostic Mammogram (both breasts) at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$225.60
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.
$376.00
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.
$144.73 with Aetna vs $338.40 with Affordable First Health — 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 |
|---|---|---|---|
| Aetna | Medicare | $144.73 | ↓ -36% |
| UPMC Health Plan | CHIP | $162.31 | ↓ -28% |
| UPMC Health Plan | Managed Medicaid | $162.31 | ↓ -28% |
| Univera | Medicare Advantage | $166.02 | ↓ -26% |
| Geisinger | Medicaid/CHIP | $180.48 | ↓ -20% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $195.81 | ↓ -13% |
| Independent Health | Medicare Advantage | $210.40 | ↓ -7% |
| MagnaCare | No Fault | $215.06 | ↓ -5% |
| MagnaCare | Workers Compensation | $215.06 | ↓ -5% |
| UPMC Health Plan | Commercial | $225.60 | ↑ +0% |
| United Healthcare | Commercial | $240.64 | ↑ +7% |
| Aetna | Commercial | $244.40 | ↑ +8% |
| Independent Health | Commercial | $251.19 | ↑ +11% |
| Humana | Commercial | $282.00 | ↑ +25% |
| MagnaCare | Direct Plus | $282.00 | ↑ +25% |
| MagnaCare | PPO | $282.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $282.00 | ↑ +25% |
| GHI/Emblem Health | Commercial | $300.80 | ↑ +33% |
| Statewide Independent PPO | PPO | $330.88 | ↑ +47% |
| Affordable First Health | PPO | $338.40 | ↑ +50% |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $210.69 | $88.42 – $512.96 |
| Kings County Hospital Center | Brooklyn | $210.69 | $90.70 – $512.96 |
| Queens Hospital Center | Jamaica | $210.69 | $89.96 – $512.96 |
| Woodhull Medical Center | Brooklyn | $210.69 | $90.70 – $512.96 |
| Elmhurst Hospital Center | NY 11373 | not published | $95.39 – $512.96 |
| Harlem Hospital Center | New York | not published | $95.39 – $512.96 |
| Jacobi Medical Center | Bronx | not published | $95.39 – $512.96 |
| Lincoln Medical Center | Bronx | not published | $95.39 – $512.96 |