Psy/npsy phys/qhp 2> tst 1st 30 min at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$157.20
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.
$262.00
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.
$24.95 with UPMC Health Plan vs $307.12 with Fidelis — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $24.95 | ↓ -84% |
| UPMC Health Plan | CHIP | $24.95 | ↓ -84% |
| Univera | Medicare Advantage | $25.37 | ↓ -84% |
| Independent Health | Medicare Advantage | $26.08 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $27.74 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.10 | ↓ -81% |
| Independent Health | Commercial | $33.14 | ↓ -79% |
| Fidelis | Medicare | $37.00 | ↓ -76% |
| Aetna | Medicare | $37.16 | ↓ -76% |
| UHC Medicaid NY | Medicaid | $136.50 | ↓ -13% |
| BCBS of Western NY | Essential Plans 3&4 | $136.50 | ↓ -13% |
| Beacon | Managed Medicaid | $136.50 | ↓ -13% |
| Fidelis | Child Health Plus | $136.50 | ↓ -13% |
| Fidelis | Family Health Plus/Medicaid | $136.50 | ↓ -13% |
| Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $136.50 | ↓ -13% |
| Univera | CHIP (For Kids)/HARP/NY Medicaid | $143.32 | ↓ -9% |
| UPMC Health Plan | Commercial | $157.20 | ↑ +0% |
| BCBS of Western NY | Essential Plans 1&2 | $163.80 | ↑ +4% |
| United Healthcare | Commercial | $167.68 | ↑ +7% |
| Aetna | Commercial | $170.30 | ↑ +8% |
| CORVEL | WC | $184.28 | ↑ +17% |
| MagnaCare | Workers Compensation | $196.50 | ↑ +25% |
| MagnaCare | No Fault | $196.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $196.50 | ↑ +25% |
| MagnaCare | PPO | $196.50 | ↑ +25% |
| MagnaCare | Direct Plus | $196.50 | ↑ +25% |
| Humana | Commercial | $196.50 | ↑ +25% |
| GHI/Emblem Health | Commercial | $209.60 | ↑ +33% |
| BCBS of Western NY | Medicaid | $226.51 | ↑ +44% |
| Statewide Independent PPO | PPO | $230.56 | ↑ +47% |
| Affordable First Health | PPO | $235.80 | ↑ +50% |
| Molina Healthcare of NY | Essential Plan | $307.12 | ↑ +95% |
| Fidelis | Essential Plan | $307.12 | ↑ +95% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Psy/npsy phys/qhp 2> tst 1st 30 min at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $152.54 | $15.88 – $249.12 |
| Harlem Hospital Center | New York | $152.54 | $25.08 – $249.12 |
| Kings County Hospital Center | Brooklyn | $152.54 | $15.88 – $249.12 |
| Lincoln Medical Center | Bronx | $152.54 | $25.46 – $249.12 |
| Metropolitan Hospital Center | New York | $152.54 | $25.46 – $249.12 |
| Queens Hospital Center | Jamaica | $152.54 | $15.88 – $249.12 |
| Woodhull Medical Center | Brooklyn | $152.54 | $15.88 – $249.12 |
| South Brooklyn Health | Brooklyn | $152.54 | $25.46 – $249.12 |