Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$192.00
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.
$240.00
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.
$39.17 with Molina Healthcare of NY vs $155.70 with Affordable First 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 |
|---|---|---|---|
| Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $39.17 | ↓ -80% |
| Fidelis | Family Health Plus/Medicaid | $39.17 | ↓ -80% |
| Fidelis | Child Health Plus | $39.17 | ↓ -80% |
| BCBS of Western NY | Essential Plans 3&4 | $39.17 | ↓ -80% |
| UHC Medicaid NY | Medicaid | $39.17 | ↓ -80% |
| Beacon | Managed Medicaid | $39.17 | ↓ -80% |
| Univera | CHIP (For Kids)/HARP/NY Medicaid | $41.13 | ↓ -79% |
| Independent Health | Medicare Advantage | $44.50 | ↓ -77% |
| Independent Health | Commercial | $44.50 | ↓ -77% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $45.31 | ↓ -76% |
| Humana | Medicare | $45.31 | ↓ -76% |
| Beacon | Medicare Advantage | $45.31 | ↓ -76% |
| United Healthcare | Medicare | $45.31 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $45.31 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $45.31 | ↓ -76% |
| Fidelis | Medicare | $45.31 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $46.22 | ↓ -76% |
| Univera | Medicare Advantage | $46.50 | ↓ -76% |
| Wellcare | Medicare | $46.67 | ↓ -76% |
| BCBS of Western NY | Essential Plans 1&2 | $47.00 | ↓ -76% |
| Aetna | Medicare | $47.12 | ↓ -75% |
| CORVEL | WC | $52.88 | ↓ -72% |
| Beacon | Commercial | $56.64 | ↓ -71% |
| BCBS of Western NY | Medicaid | $65.00 | ↓ -66% |
| Fidelis | Essential Plan | $88.13 | ↓ -54% |
| Molina Healthcare of NY | Essential Plan | $88.13 | ↓ -54% |
| UPMC Health Plan | Commercial | $103.80 | ↓ -46% |
| United Healthcare | Commercial | $110.72 | ↓ -42% |
| Aetna | Commercial | $112.45 | ↓ -41% |
| BCBS of Western NY | Commercial | $113.63 | ↓ -41% |
| Humana | Commercial | $129.75 | ↓ -32% |
| MagnaCare | PPO | $129.75 | ↓ -32% |
| MagnaCare | Direct Plus | $129.75 | ↓ -32% |
| MagnaCare | Workers Compensation | $129.75 | ↓ -32% |
| MagnaCare | No Fault | $129.75 | ↓ -32% |
| Multiplan | PPO (Includes PHCS as a Payer) | $129.75 | ↓ -32% |
| GHI/Emblem Health | Commercial | $138.40 | ↓ -28% |
| Statewide Independent PPO | PPO | $152.24 | ↓ -21% |
| Affordable First Health | PPO | $155.70 | ↓ -19% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |