Marker biop eviva buckle ss at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$483.60
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.
$806.00
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.
$106.23 with Aetna vs $574.20 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 |
|---|---|---|---|
| Aetna | Medicare | $106.23 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $121.22 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $210.54 | ↓ -56% |
| BCBS of Western NY | Essential Plans 3&4 | $255.20 | ↓ -47% |
| BCBS of Western NY | Medicaid | $255.20 | ↓ -47% |
| Univera | Medicare Advantage | $255.20 | ↓ -47% |
| Univera | Essential Plan | $255.20 | ↓ -47% |
| BCBS of Western NY | Commercial | $255.20 | ↓ -47% |
| BCBS of Western NY | Essential Plans 1&2 | $255.20 | ↓ -47% |
| UPMC Health Plan | Commercial | $382.80 | ↓ -21% |
| United Healthcare | Commercial | $408.32 | ↓ -16% |
| Aetna | Commercial | $414.70 | ↓ -14% |
| Multiplan | PPO (Includes PHCS as a Payer) | $478.50 | ↓ -1% |
| MagnaCare | PPO | $478.50 | ↓ -1% |
| MagnaCare | Workers Compensation | $478.50 | ↓ -1% |
| Humana | Commercial | $478.50 | ↓ -1% |
| MagnaCare | No Fault | $478.50 | ↓ -1% |
| MagnaCare | Direct Plus | $478.50 | ↓ -1% |
| GHI/Emblem Health | Commercial | $510.40 | ↑ +6% |
| Statewide Independent PPO | PPO | $561.44 | ↑ +16% |
| Affordable First Health | PPO | $574.20 | ↑ +19% |
Visitor-reported prices
Comments
Marker biop eviva buckle ss at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $869.70 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $238.31 | $336.84 – $336.84 |
| Gouverneur Hospital | Gouverneur | $479.38 | not published |
| Massena Hospital | Massena | $479.38 | not published |
| Canton-Potsdam Hospital | Potsdam | $479.38 | not published |
| Newark Wayne Community Hospital | Newark | $869.70 | not published |
| Bellevue Hospital Center | NY 10016 | not published | $62.32 – $92.27 |
| Harlem Hospital Center | New York | not published | $62.32 – $123.51 |