healthcosts.net
Flexible Sigmoidoscopy at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$598.20
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.
$997.00
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.
$46.53 with Univera vs $5,586.63 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 | Essential Plan | $46.53 | ↓ -92% |
| Univera | Medicare Advantage | $62.67 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $66.44 | ↓ -89% |
| UPMC Health Plan | CHIP | $66.44 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $73.87 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $80.15 | ↓ -87% |
| MagnaCare | No Fault | $178.88 | ↓ -70% |
| MagnaCare | Workers Compensation | $178.88 | ↓ -70% |
| UPMC Health Plan | Commercial | $598.20 | ↑ +0% |
| United Healthcare | Commercial | $638.08 | ↑ +7% |
| Aetna | Commercial | $648.05 | ↑ +8% |
| MagnaCare | PPO | $747.75 | ↑ +25% |
| Humana | Commercial | $747.75 | ↑ +25% |
| MagnaCare | Direct Plus | $747.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $747.75 | ↑ +25% |
| GHI/Emblem Health | Commercial | $797.60 | ↑ +33% |
| Statewide Independent PPO | PPO | $877.36 | ↑ +47% |
| Affordable First Health | PPO | $897.30 | ↑ +50% |
| Independent Health | Commercial | $1,092.34 | ↑ +83% |
| UPMC Health Plan | Managed Medicare | $1,113.95 | ↑ +86% |
| United Healthcare | Medicare | $1,113.95 | ↑ +86% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $1,113.95 | ↑ +86% |
| Fidelis | Medicare | $1,113.95 | ↑ +86% |
| Humana | Medicare | $1,113.95 | ↑ +86% |
| Beacon | Medicare Advantage | $1,113.95 | ↑ +86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,136.23 | ↑ +90% |
| Wellcare | Medicare | $1,147.37 | ↑ +92% |
| Aetna | Medicare | $1,158.51 | ↑ +94% |
| Independent Health | Medicare Advantage | $1,372.61 | ↑ +129% |
| Beacon | Commercial | $1,392.44 | ↑ +133% |
| BCBS of Western NY | Medicaid | $2,904.64 | ↑ +386% |
| BCBS of Western NY | Commercial | $5,586.63 | ↑ +834% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Flexible Sigmoidoscopy at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,056.92 | $0.01 – $2,310.77 |
| Kings County Hospital Center | Brooklyn | $1,046.21 | $0.01 – $2,455.19 |
| Queens Hospital Center | Jamaica | $1,056.92 | $0.01 – $2,455.19 |
| Woodhull Medical Center | Brooklyn | $1,056.92 | $0.01 – $2,455.19 |
| Elmhurst Hospital Center | NY 11373 | not published | $0.01 – $2,282.86 |
| Harlem Hospital Center | New York | not published | $0.01 – $2,282.86 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Jacobi Medical Center | Bronx | not published | $0.01 – $2,455.19 |