healthcosts.net
Established Patient Office Visit (level 2) at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$97.80
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.
?
What you pay up front if you don't use insurance.
$163.00
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.
$30.00 with Fidelis vs $150.87 with Independent 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 |
|---|---|---|---|
| Fidelis | Medicare | $30.00 | ↓ -69% |
| Univera | Medicare Advantage | $31.35 | ↓ -68% |
| UNITED BEHAVIORAL HEALTH | Medicaid | $31.71 | ↓ -68% |
| UPMC Health Plan | CHIP | $32.50 | ↓ -67% |
| UPMC Health Plan | Managed Medicaid | $32.50 | ↓ -67% |
| Aetna | Medicare | $35.68 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $36.14 | ↓ -63% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $39.21 | ↓ -60% |
| MagnaCare | No Fault | $50.91 | ↓ -48% |
| MagnaCare | Workers Compensation | $50.91 | ↓ -48% |
| CCBHN | UPMC Health Plan Commercial | $60.50 | ↓ -38% |
| CCBHN | UPMC Health Plan Value | $60.50 | ↓ -38% |
| CCBHN | UPMC Health Plan Value Select | $60.50 | ↓ -38% |
| CCBHN | UPMC Partner | $60.50 | ↓ -38% |
| Univera | Essential Plan | $61.00 | ↓ -38% |
| UPMC Health Plan | Commercial | $97.80 | ↑ +0% |
| United Healthcare | Commercial | $104.32 | ↑ +7% |
| Aetna | Commercial | $105.95 | ↑ +8% |
| Humana | Commercial | $122.25 | ↑ +25% |
| MagnaCare | Direct Plus | $122.25 | ↑ +25% |
| MagnaCare | PPO | $122.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $122.25 | ↑ +25% |
| Independent Health | Medicare Advantage | $128.70 | ↑ +32% |
| GHI/Emblem Health | Commercial | $130.40 | ↑ +33% |
| Statewide Independent PPO | PPO | $143.44 | ↑ +47% |
| Affordable First Health | PPO | $146.70 | ↑ +50% |
| Independent Health | Commercial | $150.87 | ↑ +54% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Bellevue Hospital Center | NY 10016 | not published | $0.01 – $395.30 |
| Elmhurst Hospital Center | NY 11373 | not published | $0.01 – $454.58 |
| Harlem Hospital Center | New York | not published | $0.01 – $395.30 |
| Jacobi Medical Center | Bronx | not published | $0.01 – $395.30 |
| Kings County Hospital Center | Brooklyn | not published | $0.01 – $395.30 |
| Lincoln Medical Center | Bronx | not published | $0.01 – $395.30 |
| Metropolitan Hospital Center | New York | not published | $0.01 – $395.30 |