Application finger splntstatic 29130 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$155.40
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.
?
What you pay up front if you don't use insurance.
$259.00
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.
$56.75 with Highmark BCBS of PA vs $581.00 with United Healthcare — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $56.75 | ↓ -63% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $81.45 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $81.82 | ↓ -47% |
| Cigna | Commercial | $91.23 | ↓ -41% |
| UPMC Health Plan | Commercial | $116.55 | ↓ -25% |
| United Healthcare | Medicare | $122.89 | ↓ -21% |
| Aetna of PA | Medicare | $122.89 | ↓ -21% |
| Humana | Medicare | $122.89 | ↓ -21% |
| UPMC Health Plan | Managed Medicare | $128.08 | ↓ -18% |
| UPMC Health Plan | EPO Partners/Partners/Select | $128.32 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↓ -15% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↓ -15% |
| AmeriHealth Caritas | Medicare | $132.72 | ↓ -15% |
| Cigna | Medicare | $132.72 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $142.45 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $142.45 | ↓ -8% |
| Occunet | Commercial | $165.90 | ↑ +7% |
| UPMC Health Plan | CHIP | $165.98 | ↑ +7% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $194.25 | ↑ +25% |
| Humana | Commercial | $207.20 | ↑ +33% |
| National Provider Network | PPO | $227.92 | ↑ +47% |
| United Healthcare | Commercial | $581.00 | ↑ +274% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Application finger splntstatic 29130 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $55.76 – $137.60 |
| UPMC Bedford | Everett | $124.20 | $44.34 – $186.30 |
| UPMC Carlisle | Carlisle | $226.20 | $51.65 – $320.45 |
| UPMC Cole | Coudersport | $126.00 | $9.42 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $226.20 | $75.40 – $320.45 |
| UPMC East | Monroeville | $235.20 | $56.30 – $313.60 |
| UPMC Hamot | Erie | $231.60 | $55.76 – $178.73 |
| UPMC Northwest | Seneca | $159.60 | $78.41 – $132.72 |