Evaluation psychiatric diagnostic at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$261.00
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.
$435.00
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.
$65.16 with UNITED BEHAVIORAL HEALTH vs $235.02 with Independent 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 |
|---|---|---|---|
| UNITED BEHAVIORAL HEALTH | Medicaid | $65.16 | ↓ -75% |
| Fidelis | Medicare | $80.00 | ↓ -69% |
| CCBHN | UPMC Partner | $107.25 | ↓ -59% |
| CCBHN | UPMC Health Plan Value Select | $107.25 | ↓ -59% |
| CCBHN | UPMC Health Plan Value | $107.25 | ↓ -59% |
| CCBHN | UPMC Health Plan Commercial | $107.25 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $110.55 | ↓ -58% |
| Aetna | Medicare | $120.27 | ↓ -54% |
| UPMC Health Plan | Commercial | $120.60 | ↓ -54% |
| United Healthcare | Commercial | $128.64 | ↓ -51% |
| Aetna | Commercial | $130.65 | ↓ -50% |
| Humana | Commercial | $150.75 | ↓ -42% |
| MagnaCare | PPO | $150.75 | ↓ -42% |
| MagnaCare | Direct Plus | $150.75 | ↓ -42% |
| MagnaCare | Workers Compensation | $150.75 | ↓ -42% |
| MagnaCare | No Fault | $150.75 | ↓ -42% |
| Multiplan | PPO (Includes PHCS as a Payer) | $150.75 | ↓ -42% |
| Univera | Medicare Advantage | $159.81 | ↓ -39% |
| GHI/Emblem Health | Commercial | $160.80 | ↓ -38% |
| Statewide Independent PPO | PPO | $176.88 | ↓ -32% |
| Affordable First Health | PPO | $180.90 | ↓ -31% |
| Independent Health | Medicare Advantage | $185.05 | ↓ -29% |
| Independent Health | Commercial | $235.02 | ↓ -10% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Evaluation psychiatric diagnostic at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $579.00 | $165.00 – $288.04 |
| Bellevue Hospital Center | NY 10016 | $190.13 | $72.46 – $332.35 |
| Harlem Hospital Center | New York | $190.13 | $142.82 – $332.35 |
| Kings County Hospital Center | Brooklyn | $190.13 | $72.46 – $332.35 |
| Lincoln Medical Center | Bronx | $190.13 | $142.82 – $332.35 |
| Metropolitan Hospital Center | New York | $190.13 | $142.82 – $332.35 |
| Queens Hospital Center | Jamaica | $190.13 | $72.46 – $332.35 |
| Woodhull Medical Center | Brooklyn | $190.13 | $72.46 – $332.35 |