Angio trnslmnl balloon same artery ea addl at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$8,139.60
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.
$13,566.00
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.
$159.14 with UPMC Health Plan vs $11,938.08 with National Provider Network — 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 | Managed Medicaid | $159.14 | ↓ -98% |
| Aetna | Medicaid | $163.48 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $166.37 | ↓ -98% |
| Aetna of PA | Medicare | $180.66 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $188.09 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $201.08 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $246.55 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $548.49 | ↓ -93% |
| United Healthcare | Commercial | $581.00 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $1,093.76 | ↓ -87% |
| Cigna | Commercial | $4,178.33 | ↓ -49% |
| UPMC Health Plan | CHIP | $4,748.10 | ↓ -42% |
| UPMC Health Plan | Commercial | $6,104.70 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,783.00 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $10,174.50 | ↑ +25% |
| Humana | Commercial | $10,852.80 | ↑ +33% |
| National Provider Network | PPO | $11,938.08 | ↑ +47% |
Visitor-reported prices
Comments
Angio trnslmnl balloon same artery ea addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $20,023.80 | $144.67 – $26,698.40 |
| UPMC Carlisle | Carlisle | $2,162.40 | $183.73 – $3,063.40 |
| UPMC Community Osteopathic | Harrisburg | $2,162.40 | $183.73 – $3,063.40 |
| UPMC East | Monroeville | $12,963.60 | $159.14 – $17,284.80 |
| UPMC Hamot | Erie | $8,398.20 | $159.14 – $1,093.76 |
| UPMC Northwest | Seneca | $9,692.40 | $159.14 – $1,398.85 |
| UPMC Hanover | Hanover | $2,162.40 | $183.73 – $1,144.63 |
| UPMC Lititz | Lititz | $2,162.40 | $180.66 – $1,144.63 |