Blood split unit at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$417.00
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.
$695.00
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.
$51.07 with Highmark BCBS of PA vs $611.60 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $51.07 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $69.44 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $97.54 | ↓ -77% |
| Aetna of PA | Medicare | $135.19 | ↓ -68% |
| United Healthcare | Medicare | $135.19 | ↓ -68% |
| Humana | Medicare | $135.19 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $140.90 | ↓ -66% |
| UPMC Health Plan | EPO Partners/Partners/Select | $141.17 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $145.99 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $146.01 | ↓ -65% |
| Cigna | Medicare | $146.01 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $146.01 | ↓ -65% |
| Occunet | Commercial | $168.99 | ↓ -59% |
| Cigna | Commercial | $214.06 | ↓ -49% |
| UPMC Health Plan | Commercial | $312.75 | ↓ -25% |
| PA Health & Wellness | PA Medicaid HMO | $382.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $382.25 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $521.25 | ↑ +25% |
| UPMC Health Plan | CHIP | $525.22 | ↑ +26% |
| Humana | Commercial | $556.00 | ↑ +33% |
| National Provider Network | PPO | $611.60 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Blood split unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $247.80 | $50.19 – $330.40 |
| UPMC Bedford | Everett | $315.00 | $48.78 – $472.50 |
| UPMC Carlisle | Carlisle | $192.60 | $43.98 – $272.85 |
| UPMC Community Osteopathic | Harrisburg | $192.60 | $64.20 – $525.22 |
| UPMC East | Monroeville | $173.40 | $50.67 – $231.20 |
| UPMC Hamot | Erie | $275.40 | $50.19 – $168.51 |
| UPMC Northwest | Seneca | $300.60 | $69.44 – $146.01 |
| UPMC Hanover | Hanover | $192.60 | $72.67 – $525.22 |