Ercp biliary & pancreas at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$929.40
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.
$1,549.00
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.
$95.91 with Aetna vs $1,394.10 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 |
|---|---|---|---|
| Aetna | Medicare | $95.91 | ↓ -90% |
| Univera | Medicare Advantage | $167.11 | ↓ -82% |
| MagnaCare | No Fault | $208.92 | ↓ -78% |
| MagnaCare | Workers Compensation | $208.92 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $851.95 | ↓ -8% |
| UPMC Health Plan | Commercial | $929.40 | ↑ +0% |
| United Healthcare | Commercial | $991.36 | ↑ +7% |
| Aetna | Commercial | $1,006.85 | ↑ +8% |
| Humana | Commercial | $1,161.75 | ↑ +25% |
| MagnaCare | PPO | $1,161.75 | ↑ +25% |
| MagnaCare | Direct Plus | $1,161.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,161.75 | ↑ +25% |
| GHI/Emblem Health | Commercial | $1,239.20 | ↑ +33% |
| Statewide Independent PPO | PPO | $1,363.12 | ↑ +47% |
| Affordable First Health | PPO | $1,394.10 | ↑ +50% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $2,108.00 | $161.00 – $1,547.02 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $1,507.00 | $352.07 – $512.80 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $1,513.00 | $161.00 – $1,625.03 |
| Bellevue Hospital Center | NY 10016 | not published | $1.00 – $1,193.00 |
| Harlem Hospital Center | New York | not published | $1.00 – $1,193.00 |
| Kings County Hospital Center | Brooklyn | not published | $1.00 – $1,193.00 |
| Lincoln Medical Center | Bronx | not published | $1.00 – $1,193.00 |
| Metropolitan Hospital Center | New York | not published | $1.00 – $1,193.00 |