Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$218.40
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.
$364.00
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.
$32.12 with UPMC Health Plan vs $394.97 with BCBS of Western 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 →
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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 | CHIP | $32.12 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $32.12 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $35.72 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $38.76 | ↓ -82% |
| Univera | Medicare Advantage | $66.09 | ↓ -70% |
| Fidelis | Child Health Plus | $66.56 | ↓ -70% |
| Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $66.56 | ↓ -70% |
| UHC Medicaid NY | Medicaid | $66.56 | ↓ -70% |
| Fidelis | Family Health Plus/Medicaid | $66.56 | ↓ -70% |
| Beacon | Managed Medicaid | $66.56 | ↓ -70% |
| BCBS of Western NY | Essential Plans 3&4 | $66.56 | ↓ -70% |
| Univera | CHIP (For Kids)/HARP/NY Medicaid | $69.89 | ↓ -68% |
| MagnaCare | Workers Compensation | $76.23 | ↓ -65% |
| MagnaCare | No Fault | $76.23 | ↓ -65% |
| BCBS of Western NY | Essential Plans 1&2 | $79.87 | ↓ -63% |
| CORVEL | WC | $89.86 | ↓ -59% |
| BCBS of Western NY | Medicaid | $110.45 | ↓ -49% |
| Molina Healthcare of NY | Essential Plan | $149.76 | ↓ -31% |
| Fidelis | Essential Plan | $149.76 | ↓ -31% |
| Independent Health | Medicare Advantage | $156.81 | ↓ -28% |
| Beacon | Medicare Advantage | $157.49 | ↓ -28% |
| Humana | Medicare | $157.49 | ↓ -28% |
| United Healthcare | Medicare | $157.49 | ↓ -28% |
| UPMC Health Plan | Managed Medicare | $157.49 | ↓ -28% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $157.49 | ↓ -28% |
| Fidelis | Medicare | $157.49 | ↓ -28% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $160.64 | ↓ -26% |
| Wellcare | Medicare | $162.21 | ↓ -26% |
| Aetna | Medicare | $163.79 | ↓ -25% |
| Beacon | Commercial | $196.86 | ↓ -10% |
| Independent Health | Commercial | $199.16 | ↓ -9% |
| UPMC Health Plan | Commercial | $218.40 | ↑ +0% |
| United Healthcare | Commercial | $232.96 | ↑ +7% |
| Aetna | Commercial | $236.60 | ↑ +8% |
| MagnaCare | Direct Plus | $273.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $273.00 | ↑ +25% |
| Humana | Commercial | $273.00 | ↑ +25% |
| MagnaCare | PPO | $273.00 | ↑ +25% |
| GHI/Emblem Health | Commercial | $291.20 | ↑ +33% |
| Statewide Independent PPO | PPO | $320.32 | ↑ +47% |
| Affordable First Health | PPO | $327.60 | ↑ +50% |
| BCBS of Western NY | Commercial | $394.97 | ↑ +81% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $592.00 | $44.00 – $160.16 |
| Bellevue Hospital Center | NY 10016 | $152.54 | $24.32 – $781.00 |
| Harlem Hospital Center | New York | $152.54 | $65.57 – $781.00 |
| Kings County Hospital Center | Brooklyn | $152.54 | $24.32 – $781.00 |
| Lincoln Medical Center | Bronx | $152.54 | $67.61 – $781.00 |
| Metropolitan Hospital Center | New York | $152.54 | $67.61 – $781.00 |
| Queens Hospital Center | Jamaica | $152.54 | $24.32 – $781.00 |
| Woodhull Medical Center | Brooklyn | $152.54 | $24.32 – $781.00 |