healthcosts.net
Abdominal CT scan (with and without contrast) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$1,819.80
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.
$3,033.00
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.
$128.22 with United Healthcare Community Plan for Families vs $2,669.04 with National Provider Network — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $128.22 | ↓ -93% |
| Aetna of PA | Medicare | $169.72 | ↓ -91% |
| Humana | Medicare | $169.72 | ↓ -91% |
| United Healthcare | Medicare | $169.72 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $176.88 | ↓ -90% |
| UPMC Health Plan | EPO Partners/Partners/Select | $177.22 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.28 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -90% |
| Cigna | Medicare | $183.30 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $194.12 | ↓ -89% |
| Aetna | Medicaid | $199.41 | ↓ -89% |
| Occunet | Commercial | $212.15 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $229.43 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $245.28 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $300.74 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $454.78 | ↓ -75% |
| Cigna | Commercial | $670.35 | ↓ -63% |
| United Healthcare | Commercial | $763.00 | ↓ -58% |
| UPMC Health Plan | Commercial | $875.04 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $901.55 | ↓ -50% |
| UPMC Health Plan | CHIP | $1,419.66 | ↓ -22% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,274.75 | ↑ +25% |
| Humana | Commercial | $2,426.40 | ↑ +33% |
| National Provider Network | PPO | $2,669.04 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,242.40 | $170.18 – $4,323.20 |
| UPMC Passavant-McCandless | Pittsburgh | $2,953.20 | $157.72 – $4,183.70 |
| UPMC Hamot | Erie | $5,272.80 | $161.20 – $6,151.60 |
| UPMC McKeesport | Mckeesport | $3,154.20 | $157.31 – $4,468.45 |
| UPMC Carlisle | Carlisle | $1,424.40 | $146.06 – $2,017.90 |
| UPMC Altoona | Altoona | $1,674.60 | $111.50 – $2,232.80 |
| UPMC Bedford | Everett | $1,082.40 | $61.23 – $1,623.60 |
| UPMC Cole | Coudersport | $969.00 | $185.29 – $1,292.00 |