Genetic tstg severe inh cond at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$4,156.20
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.
?
What you pay up front if you don't use insurance.
$6,927.00
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.
$2,448.56 with UPMC Health Plan vs $6,140.74 with BCBS of Western NY — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $2,448.56 | ↓ -41% |
| Humana | Medicare | $2,448.56 | ↓ -41% |
| Beacon | Medicare Advantage | $2,448.56 | ↓ -41% |
| United Healthcare | Medicare | $2,448.56 | ↓ -41% |
| Fidelis | Medicare | $2,448.56 | ↓ -41% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $2,448.56 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $2,448.56 | ↓ -41% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,497.53 | ↓ -40% |
| Wellcare | Medicare | $2,522.02 | ↓ -39% |
| Independent Health | Commercial | $2,522.02 | ↓ -39% |
| Independent Health | Medicare Advantage | $2,522.02 | ↓ -39% |
| Aetna | Medicare | $2,546.50 | ↓ -39% |
| Univera | Medicare Advantage | $2,570.99 | ↓ -38% |
| Beacon | Commercial | $3,060.70 | ↓ -26% |
| UPMC Health Plan | Commercial | $3,739.80 | ↓ -10% |
| United Healthcare | Commercial | $3,989.12 | ↓ -4% |
| Aetna | Commercial | $4,051.45 | ↓ -3% |
| MagnaCare | Direct Plus | $4,674.75 | ↑ +12% |
| MagnaCare | PPO | $4,674.75 | ↑ +12% |
| Humana | Commercial | $4,674.75 | ↑ +12% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,674.75 | ↑ +12% |
| MagnaCare | No Fault | $4,674.75 | ↑ +12% |
| MagnaCare | Workers Compensation | $4,674.75 | ↑ +12% |
| GHI/Emblem Health | Commercial | $4,986.40 | ↑ +20% |
| Statewide Independent PPO | PPO | $5,485.04 | ↑ +32% |
| Affordable First Health | PPO | $5,609.70 | ↑ +35% |
| BCBS of Western NY | Commercial | $6,140.74 | ↑ +48% |
Visitor-reported prices
Comments
Genetic tstg severe inh cond at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $11,606.00 | $1,713.99 – $2,570.99 |
| Bellevue Hospital Center | NY 10016 | $2,448.56 | $1,334.47 – $6,109.92 |
| Harlem Hospital Center | New York | $2,448.56 | $1,958.85 – $6,109.92 |
| Kings County Hospital Center | Brooklyn | $2,448.56 | $1,334.47 – $6,109.92 |
| Lincoln Medical Center | Bronx | $2,448.56 | $1,958.85 – $6,109.92 |
| Metropolitan Hospital Center | New York | $2,448.56 | $1,958.85 – $6,109.92 |
| Queens Hospital Center | Jamaica | $2,448.56 | $1,334.47 – $6,109.92 |
| Woodhull Medical Center | Brooklyn | $2,448.56 | $1,334.47 – $6,109.92 |