New Patient Office Visit (level 4) at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$165.60
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.
$276.00
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.
$61.00 with Univera vs $263.07 with Independent 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 | $61.00 | ↓ -63% |
| UNITED BEHAVIORAL HEALTH | Medicaid | $66.04 | ↓ -60% |
| CCBHN | UPMC Health Plan Commercial | $101.20 | ↓ -39% |
| CCBHN | UPMC Partner | $101.20 | ↓ -39% |
| CCBHN | UPMC Health Plan Value | $101.20 | ↓ -39% |
| CCBHN | UPMC Health Plan Value Select | $101.20 | ↓ -39% |
| Fidelis | Medicare | $111.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $112.96 | ↓ -32% |
| UPMC Health Plan | Managed Medicaid | $112.96 | ↓ -32% |
| Univera | Medicare Advantage | $116.96 | ↓ -29% |
| Geisinger | Medicaid/CHIP | $125.61 | ↓ -24% |
| Aetna | Medicare | $130.37 | ↓ -21% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $136.28 | ↓ -18% |
| MagnaCare | Workers Compensation | $150.74 | ↓ -9% |
| MagnaCare | No Fault | $150.74 | ↓ -9% |
| UPMC Health Plan | Commercial | $165.60 | ↑ +0% |
| United Healthcare | Commercial | $176.64 | ↑ +7% |
| Aetna | Commercial | $179.40 | ↑ +8% |
| Humana | Commercial | $207.00 | ↑ +25% |
| MagnaCare | PPO | $207.00 | ↑ +25% |
| MagnaCare | Direct Plus | $207.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $207.00 | ↑ +25% |
| GHI/Emblem Health | Commercial | $220.80 | ↑ +33% |
| Independent Health | Medicare Advantage | $224.44 | ↑ +36% |
| Statewide Independent PPO | PPO | $242.88 | ↑ +47% |
| Affordable First Health | PPO | $248.40 | ↑ +50% |
| Independent Health | Commercial | $263.07 | ↑ +59% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $1,014.00 | $1,150.38 – $1,206.57 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $715.00 | $1,171.73 – $1,171.73 |
| Rochester General Hospital | Rochester | $443.20 | $72.00 – $72.00 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $443.20 | $43.25 – $202.20 |
| Gouverneur Hospital | Gouverneur | $390.13 | $66.04 – $216.28 |
| Massena Hospital | Massena | $392.19 | $66.04 – $216.28 |
| Canton-Potsdam Hospital | Potsdam | $397.79 | $102.08 – $216.28 |
| The Unity Hospital of Rochester | Rochester | $545.47 | $109.59 – $109.59 |