Vaccine hepatitis a (hepa) adult im at UPMC Chautauqua

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

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

$108.00

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.

$135.00

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.

$12.50 with UPMC Health Plan vs $158.38 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
UPMC Health Plan Managed Medicaid $12.50 ↓ -88%
UPMC Health Plan CHIP $12.50 ↓ -88%
Geisinger Medicaid/CHIP $13.90 ↓ -87%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $15.08 ↓ -86%
MagnaCare Workers Compensation $50.90 ↓ -53%
MagnaCare No Fault $50.90 ↓ -53%
Independent Health Commercial $69.84 ↓ -35%
Independent Health Medicare Advantage $69.84 ↓ -35%
Univera Medicare Advantage $70.10 ↓ -35%
Molina Healthcare of NY CHIP (For Kids)/Medicaid $70.39 ↓ -35%
BCBS of Western NY Essential Plans 3&4 $70.39 ↓ -35%
Beacon Managed Medicaid $70.39 ↓ -35%
Fidelis Child Health Plus $70.39 ↓ -35%
UHC Medicaid NY Medicaid $70.39 ↓ -35%
Fidelis Family Health Plus/Medicaid $70.39 ↓ -35%
Univera CHIP (For Kids)/HARP/NY Medicaid $73.91 ↓ -32%
Aetna Medicare $76.74 ↓ -29%
UPMC Health Plan Commercial $81.00 ↓ -25%
BCBS of Western NY Essential Plans 1&2 $84.47 ↓ -22%
United Healthcare Commercial $86.40 ↓ -20%
Aetna Commercial $87.75 ↓ -19%
CORVEL WC $95.03 ↓ -12%
MagnaCare Direct Plus $101.25 ↓ -6%
MagnaCare PPO $101.25 ↓ -6%
Humana Commercial $101.25 ↓ -6%
Multiplan PPO (Includes PHCS as a Payer) $101.25 ↓ -6%
GHI/Emblem Health Commercial $108.00 ↑ +0%
BCBS of Western NY Medicaid $116.81 ↑ +8%
Statewide Independent PPO PPO $118.80 ↑ +10%
Affordable First Health PPO $121.50 ↑ +13%
Fidelis Essential Plan $158.38 ↑ +47%
Molina Healthcare of NY Essential Plan $158.38 ↑ +47%

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Vaccine hepatitis a (hepa) adult im at other New-york hospitals

Hospital City Cash price Negotiated range
NewYork-Presbyterian Queens Flushing $268.66 $27.80 – $208.54
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $268.66 $27.80 – $209.99
NewYork-Presbyterian Columbia University Irving Medical Center New York $268.66 $20.85 – $209.99
Bellevue Hospital Center NY 10016 not published $53.39 – $88.47
Harlem Hospital Center New York not published $53.39 – $79.63
Kings County Hospital Center Brooklyn not published $53.39 – $88.47
Lincoln Medical Center Bronx not published $53.39 – $79.63
Metropolitan Hospital Center New York not published $53.39 – $79.63

All New-york hospitals for this procedure →