healthcosts.net
Blood Clotting (PT/INR) Test at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$15.60
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.
?
What you pay up front if you don't use insurance.
$26.00
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.
$4.24 with UPMC Work Partners vs $22.88 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $4.24 | ↓ -73% |
| Aetna of PA | Medicare | $4.29 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $4.29 | ↓ -73% |
| Humana | Medicare | $4.29 | ↓ -73% |
| Occunet | Commercial | $4.29 | ↓ -73% |
| United Healthcare | Medicare | $4.29 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $4.40 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $4.47 | ↓ -71% |
| UPMC Health Plan | EPO Partners/Partners/Select | $4.48 | ↓ -71% |
| Aetna | Medicaid | $4.52 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.52 | ↓ -71% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $4.60 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $4.63 | ↓ -70% |
| Cigna | Medicare | $4.63 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.63 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.63 | ↓ -70% |
| United Healthcare | Commercial | $5.49 | ↓ -65% |
| PA Health & Wellness | PA Medicaid HMO | $6.82 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7.76 | ↓ -50% |
| UPMC Health Plan | Commercial | $8.01 | ↓ -49% |
| Cigna | Commercial | $11.15 | ↓ -29% |
| UPMC Health Plan | CHIP | $12.99 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $19.50 | ↑ +25% |
| Humana | Commercial | $20.80 | ↑ +33% |
| National Provider Network | PPO | $22.88 | ↑ +47% |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $58.80 | $3.57 – $78.40 |
| UPMC Passavant-McCandless | Pittsburgh | $96.00 | $3.61 – $90.10 |
| UPMC Hamot | Erie | $130.20 | $4.00 – $151.90 |
| UPMC Carlisle | Carlisle | $22.20 | $4.00 – $31.45 |
| UPMC Altoona | Altoona | $54.60 | $4.00 – $72.80 |
| UPMC Bedford | Everett | $30.00 | $1.55 – $45.00 |
| UPMC Cole | Coudersport | $30.60 | $2.79 – $40.80 |
| UPMC Community Osteopathic | Harrisburg | $22.20 | $4.00 – $29.75 |