Inj, bupivacaine liposome at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$4.20
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.
$5.25
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.
$1.47 with Geisinger vs $4.51 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $1.47 | ↓ -65% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $1.80 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $1.80 | ↓ -57% |
| Beacon | Medicare Advantage | $1.80 | ↓ -57% |
| Fidelis | Medicare | $1.80 | ↓ -57% |
| Humana | Medicare | $1.80 | ↓ -57% |
| United Healthcare | Medicare | $1.80 | ↓ -57% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1.84 | ↓ -56% |
| Wellcare | Medicare | $1.85 | ↓ -56% |
| Aetna | Medicare | $1.87 | ↓ -55% |
| Beacon | Commercial | $2.25 | ↓ -46% |
| UPMC Health Plan | Commercial | $2.40 | ↓ -43% |
| United Healthcare | Commercial | $2.56 | ↓ -39% |
| Aetna | Commercial | $2.60 | ↓ -38% |
| MagnaCare | Workers Compensation | $3.00 | ↓ -29% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3.00 | ↓ -29% |
| MagnaCare | PPO | $3.00 | ↓ -29% |
| MagnaCare | No Fault | $3.00 | ↓ -29% |
| MagnaCare | Direct Plus | $3.00 | ↓ -29% |
| Humana | Commercial | $3.00 | ↓ -29% |
| GHI/Emblem Health | Commercial | $3.20 | ↓ -24% |
| Statewide Independent PPO | PPO | $3.52 | ↓ -16% |
| Affordable First Health | PPO | $3.60 | ↓ -14% |
| BCBS of Western NY | Commercial | $4.51 | ↑ +7% |
Visitor-reported prices
Comments
Inj, bupivacaine liposome at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $58.79 | $1.49 – $2.21 |
| NewYork-Presbyterian Queens | Flushing | $58.79 | $1.49 – $1.86 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $58.79 | $1.49 – $2.21 |
| Rochester General Hospital | Rochester | not published | $1.41 – $1.44 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $1.42 – $1.45 |
| Gouverneur Hospital | Gouverneur | not published | $1.42 – $1.42 |
| The Unity Hospital of Rochester | Rochester | not published | $1.41 – $1.44 |
| Newark Wayne Community Hospital | Newark | not published | $1.41 – $1.44 |