Naltrexone, depot form at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$4,812.60
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.
?
What you pay up front if you don't use insurance.
$8,021.00
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.
$3.21 with Molina Healthcare of NY vs $2,027.79 with UPMC Health Plan — 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 |
|---|---|---|---|
| Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $3.21 | ↓ -100% |
| UHC Medicaid NY | Medicaid | $3.21 | ↓ -100% |
| Beacon | Managed Medicaid | $3.21 | ↓ -100% |
| BCBS of Western NY | Essential Plans 3&4 | $3.21 | ↓ -100% |
| Fidelis | Child Health Plus | $3.21 | ↓ -100% |
| Fidelis | Family Health Plus/Medicaid | $3.21 | ↓ -100% |
| Univera | CHIP (For Kids)/HARP/NY Medicaid | $3.37 | ↓ -100% |
| Independent Health | Medicare Advantage | $3.68 | ↓ -100% |
| Independent Health | Commercial | $3.68 | ↓ -100% |
| Univera | Medicare Advantage | $3.73 | ↓ -100% |
| BCBS of Western NY | Essential Plans 1&2 | $3.85 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $4.24 | ↓ -100% |
| Humana | Medicare | $4.24 | ↓ -100% |
| Beacon | Medicare Advantage | $4.24 | ↓ -100% |
| United Healthcare | Medicare | $4.24 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $4.24 | ↓ -100% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $4.24 | ↓ -100% |
| Fidelis | Medicare | $4.24 | ↓ -100% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.32 | ↓ -100% |
| CORVEL | WC | $4.33 | ↓ -100% |
| Wellcare | Medicare | $4.37 | ↓ -100% |
| Aetna | Medicare | $4.41 | ↓ -100% |
| Beacon | Commercial | $5.30 | ↓ -100% |
| BCBS of Western NY | Medicaid | $5.33 | ↓ -100% |
| Fidelis | Essential Plan | $7.22 | ↓ -100% |
| Molina Healthcare of NY | Essential Plan | $7.22 | ↓ -100% |
| BCBS of Western NY | Commercial | $10.63 | ↓ -100% |
| UPMC Health Plan | Commercial | $12.60 | ↓ -100% |
| United Healthcare | Commercial | $13.44 | ↓ -100% |
| Aetna | Commercial | $13.65 | ↓ -100% |
| Humana | Commercial | $15.75 | ↓ -100% |
| MagnaCare | PPO | $15.75 | ↓ -100% |
| MagnaCare | Direct Plus | $15.75 | ↓ -100% |
| MagnaCare | Workers Compensation | $15.75 | ↓ -100% |
| MagnaCare | No Fault | $15.75 | ↓ -100% |
| Multiplan | PPO (Includes PHCS as a Payer) | $15.75 | ↓ -100% |
| GHI/Emblem Health | Commercial | $16.80 | ↓ -100% |
| Statewide Independent PPO | PPO | $18.48 | ↓ -100% |
| Affordable First Health | PPO | $18.90 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,622.23 | ↓ -66% |
| UPMC Health Plan | CHIP | $2,027.79 | ↓ -58% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Naltrexone, depot form at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $5,370.54 | $4.03 – $1,064.34 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $5,370.54 | $4.03 – $1,064.05 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $5,370.54 | $4.03 – $824.76 |