healthcosts.net
Established Patient Office Visit (level 1) at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$67.20
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.
$112.00
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.
$7.75 with Univera vs $3,790.09 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 |
|---|---|---|---|
| Univera | Medicare Advantage | $7.75 | ↓ -88% |
| Fidelis | Medicare | $14.00 | ↓ -79% |
| Aetna | Medicare | $17.99 | ↓ -73% |
| UNITED BEHAVIORAL HEALTH | Medicaid | $19.90 | ↓ -70% |
| UHC Medicaid NY | Medicaid | $20.20 | ↓ -70% |
| Fidelis | Family Health Plus/Medicaid | $20.20 | ↓ -70% |
| Beacon | Managed Medicaid | $20.20 | ↓ -70% |
| Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $20.20 | ↓ -70% |
| BCBS of Western NY | Essential Plans 3&4 | $20.20 | ↓ -70% |
| Fidelis | Child Health Plus | $20.20 | ↓ -70% |
| Univera | CHIP (For Kids)/HARP/NY Medicaid | $21.21 | ↓ -68% |
| BCBS of Western NY | Essential Plans 1&2 | $24.24 | ↓ -64% |
| UPMC Health Plan | Managed Medicaid | $25.00 | ↓ -63% |
| UPMC Health Plan | CHIP | $25.00 | ↓ -63% |
| CORVEL | WC | $27.27 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $27.80 | ↓ -59% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.16 | ↓ -55% |
| BCBS of Western NY | Medicaid | $33.52 | ↓ -50% |
| MagnaCare | No Fault | $35.76 | ↓ -47% |
| MagnaCare | Workers Compensation | $35.76 | ↓ -47% |
| CCBHN | UPMC Health Plan Value Select | $38.50 | ↓ -43% |
| CCBHN | UPMC Health Plan Commercial | $38.50 | ↓ -43% |
| CCBHN | UPMC Partner | $38.50 | ↓ -43% |
| CCBHN | UPMC Health Plan Value | $38.50 | ↓ -43% |
| Fidelis | Essential Plan | $45.45 | ↓ -32% |
| Molina Healthcare of NY | Essential Plan | $45.45 | ↓ -32% |
| Univera | Essential Plan | $61.00 | ↓ -9% |
| UPMC Health Plan | Commercial | $67.20 | ↑ +0% |
| United Healthcare | Commercial | $71.68 | ↑ +7% |
| Aetna | Commercial | $72.80 | ↑ +8% |
| MagnaCare | PPO | $84.00 | ↑ +25% |
| Humana | Commercial | $84.00 | ↑ +25% |
| MagnaCare | Direct Plus | $84.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $84.00 | ↑ +25% |
| GHI/Emblem Health | Commercial | $89.60 | ↑ +33% |
| Statewide Independent PPO | PPO | $98.56 | ↑ +47% |
| Independent Health | Medicare Advantage | $99.18 | ↑ +48% |
| Affordable First Health | PPO | $100.80 | ↑ +50% |
| Independent Health | Commercial | $116.26 | ↑ +73% |
| BCBS of Western NY | Commercial | $3,790.09 | ↑ +5540% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | not published | $0.01 – $406.09 |
| Elmhurst Hospital Center | NY 11373 | not published | $0.01 – $406.09 |
| Harlem Hospital Center | New York | not published | $0.01 – $406.09 |
| Jacobi Medical Center | Bronx | not published | $0.01 – $406.09 |
| Kings County Hospital Center | Brooklyn | not published | $0.01 – $406.09 |
| Lincoln Medical Center | Bronx | not published | $0.01 – $406.09 |
| Metropolitan Hospital Center | New York | not published | $0.01 – $406.09 |
| North Central Bronx | Bronx | not published | $0.01 – $614.00 |