Abd/low ext cath 1st at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$949.20
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.
?
What you pay up front if you don't use insurance.
$1,582.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$249.85 with Aetna of PA vs $2,656.30 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna of PA | Medicare | $249.85 | ↓ -74% |
| Cigna | Commercial | $487.26 | ↓ -49% |
| United Healthcare | Commercial | $581.00 | ↓ -39% |
| UPMC Work Partners | Workers Comp | $726.45 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $791.00 | ↓ -17% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $851.73 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $870.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $870.10 | ↓ -8% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↓ -6% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,186.50 | ↑ +25% |
| Humana | Commercial | $1,265.60 | ↑ +33% |
| National Provider Network | PPO | $1,392.16 | ↑ +47% |
| UPMC Health Plan | Commercial | $1,637.28 | ↑ +72% |
| UPMC Health Plan | CHIP | $2,656.30 | ↑ +180% |
Visitor-reported prices
Comments
Abd/low ext cath 1st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,824.00 | $717.91 – $2,656.30 |
| UPMC Carlisle | Carlisle | $4,321.20 | $751.30 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $760.24 – $6,121.70 |
| UPMC East | Monroeville | $3,504.60 | $763.10 – $4,672.80 |
| UPMC Hamot | Erie | $3,583.20 | $763.10 – $3,297.90 |
| UPMC Northwest | Seneca | $5,015.40 | $726.45 – $2,172.24 |
| UPMC Hanover | Hanover | $4,321.20 | $760.24 – $2,656.30 |
| UPMC Lititz | Lititz | $4,321.20 | $249.85 – $2,656.30 |