Inj proc elbow arthro at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$201.00
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.
$335.00
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.
$55.52 with Univera vs $301.50 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 |
|---|---|---|---|
| Univera | Essential Plan | $55.52 | ↓ -72% |
| MagnaCare | No Fault | $55.90 | ↓ -72% |
| MagnaCare | Workers Compensation | $55.90 | ↓ -72% |
| Aetna | Medicare | $62.08 | ↓ -69% |
| Univera | Medicare Advantage | $71.84 | ↓ -64% |
| BCBS of Western NY | Medicaid | $77.10 | ↓ -62% |
| BCBS of Western NY | Commercial | $147.69 | ↓ -27% |
| Geisinger | Medicaid/CHIP | $184.25 | ↓ -8% |
| UPMC Health Plan | Commercial | $201.00 | ↑ +0% |
| United Healthcare | Commercial | $214.40 | ↑ +7% |
| Aetna | Commercial | $217.75 | ↑ +8% |
| Humana | Commercial | $251.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $251.25 | ↑ +25% |
| MagnaCare | Direct Plus | $251.25 | ↑ +25% |
| MagnaCare | PPO | $251.25 | ↑ +25% |
| GHI/Emblem Health | Commercial | $268.00 | ↑ +33% |
| Statewide Independent PPO | PPO | $294.80 | ↑ +47% |
| Affordable First Health | PPO | $301.50 | ↑ +50% |
Visitor-reported prices
Comments
Inj proc elbow arthro at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $199.53 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $199.53 | $46.76 – $77.06 |
| Gouverneur Hospital | Gouverneur | $98.72 | not published |
| Massena Hospital | Massena | $99.25 | not published |
| Canton-Potsdam Hospital | Potsdam | $104.69 | $48.93 – $57.09 |
| The Unity Hospital of Rochester | Rochester | $245.58 | not published |
| Newark Wayne Community Hospital | Newark | $199.53 | $54.37 – $113.29 |
| Bellevue Hospital Center | NY 10016 | not published | $0.01 – $645.00 |