Block tap inj(s) w/wo img bi at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$652.20
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.
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What you pay up front if you don't use insurance.
$1,087.00
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.
$59.58 with Aetna of PA vs $956.56 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $59.58 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $73.34 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $102.13 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $202.44 | ↓ -69% |
| UPMC Health Plan | Commercial | $325.32 | ↓ -50% |
| Cigna | Commercial | $334.80 | ↓ -49% |
| UPMC Health Plan | CHIP | $527.80 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $543.50 | ↓ -17% |
| United Healthcare | Commercial | $581.00 | ↓ -11% |
| PA Health & Wellness | PA Medicaid HMO | $597.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $597.85 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $815.25 | ↑ +25% |
| Humana | Commercial | $869.60 | ↑ +33% |
| National Provider Network | PPO | $956.56 | ↑ +47% |
Visitor-reported prices
Comments
Block tap inj(s) w/wo img bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $655.80 | $100.36 – $874.40 |
| UPMC East | Monroeville | $584.40 | $101.31 – $779.20 |
| UPMC Hamot | Erie | $785.40 | $100.36 – $655.28 |
| UPMC Horizon-Greenville | Greenville | $691.20 | $195.24 – $295.67 |
| UPMC Kane | Kane | $2,994.60 | $202.44 – $581.49 |
| UPMC Magee | Pittsburgh | $628.80 | $65.54 – $479.18 |
| UPMC McKeesport | Mckeesport | $1,155.00 | $65.54 – $287.42 |
| UPMC Mercy | Pittsburgh | $1,914.60 | $100.36 – $291.76 |