Pt evaluation moderate complexity patient/family at UPMC Chautauqua

207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$98.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$164.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$66.99 with MagnaCare vs $268.58 with Molina Healthcare of NY — 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 →

Payer
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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
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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
MagnaCare No Fault $66.99 ↓ -32%
MagnaCare Workers Compensation $66.99 ↓ -32%
Aetna Medicare $72.30 ↓ -27%
Independent Health Medicare Advantage $81.07 ↓ -18%
Geisinger Medicaid/CHIP $90.20 ↓ -8%
Independent Health Commercial $94.72 ↓ -4%
UPMC Health Plan Commercial $98.40 ↑ +0%
Univera Medicare Advantage $100.86 ↑ +3%
United Healthcare Commercial $104.96 ↑ +7%
Aetna Commercial $106.60 ↑ +8%
Beacon Managed Medicaid $119.37 ↑ +21%
BCBS of Western NY Essential Plans 3&4 $119.37 ↑ +21%
Molina Healthcare of NY CHIP (For Kids)/Medicaid $119.37 ↑ +21%
Fidelis Child Health Plus $119.37 ↑ +21%
Fidelis Family Health Plus/Medicaid $119.37 ↑ +21%
UHC Medicaid NY Medicaid $119.37 ↑ +21%
MagnaCare PPO $123.00 ↑ +25%
MagnaCare Direct Plus $123.00 ↑ +25%
Humana Commercial $123.00 ↑ +25%
Multiplan PPO (Includes PHCS as a Payer) $123.00 ↑ +25%
Univera CHIP (For Kids)/HARP/NY Medicaid $125.34 ↑ +27%
GHI/Emblem Health Commercial $131.20 ↑ +33%
BCBS of Western NY Essential Plans 1&2 $143.24 ↑ +46%
Statewide Independent PPO PPO $144.32 ↑ +47%
Affordable First Health PPO $147.60 ↑ +50%
CORVEL WC $161.15 ↑ +64%
BCBS of Western NY Medicaid $198.08 ↑ +101%
Fidelis Essential Plan $268.58 ↑ +173%
Molina Healthcare of NY Essential Plan $268.58 ↑ +173%

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Pt evaluation moderate complexity patient/family at other New-york hospitals

Hospital City Cash price Negotiated range
NewYork-Presbyterian Queens Flushing $734.00 $93.00 – $200.04
Bellevue Hospital Center NY 10016 $109.88 $49.11 – $242.25
Harlem Hospital Center New York $111.81 $91.42 – $242.25
Kings County Hospital Center Brooklyn $111.81 $49.11 – $242.25
Lincoln Medical Center Bronx $111.81 $91.42 – $242.25
Metropolitan Hospital Center New York $109.88 $90.32 – $242.25
Queens Hospital Center Jamaica $110.99 $49.11 – $242.25
Woodhull Medical Center Brooklyn $111.81 $49.11 – $242.25

All New-york hospitals for this procedure →