Borrelia miyamotoi amp prb at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$40.80
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.
$68.00
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.
$14.22 with Highmark BCBS of PA vs $91.13 with Cigna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.22 | ↓ -65% |
| UPMC Health Plan | CHIP | $23.80 | ↓ -42% |
| UPMC Health Plan | Commercial | $30.60 | ↓ -25% |
| UPMC Health Plan | Managed Medicaid | $30.88 | ↓ -24% |
| Aetna | Medicaid | $31.72 | ↓ -22% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.73 | ↓ -22% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $32.28 | ↓ -21% |
| UPMC Work Partners | Workers Comp | $34.68 | ↓ -15% |
| Aetna of PA | Medicare | $35.09 | ↓ -14% |
| United Healthcare | Medicare | $35.09 | ↓ -14% |
| United Healthcare | Commercial | $35.09 | ↓ -14% |
| Humana | Medicare | $35.09 | ↓ -14% |
| Occunet | Commercial | $35.09 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $35.09 | ↓ -14% |
| UPMC Health Plan | Managed Medicare | $36.57 | ↓ -10% |
| UPMC Health Plan | EPO Partners/Partners/Select | $36.64 | ↓ -10% |
| Highmark Wholecare (prev Gateway) | Medicare | $37.89 | ↓ -7% |
| Cigna | Medicare | $37.90 | ↓ -7% |
| AmeriHealth Caritas | Medicare | $37.90 | ↓ -7% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $37.90 | ↓ -7% |
| PA Health & Wellness | PA Medicaid HMO | $47.84 | ↑ +17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $51.00 | ↑ +25% |
| Humana | Commercial | $54.40 | ↑ +33% |
| National Provider Network | PPO | $59.84 | ↑ +47% |
| Cigna | Commercial | $91.13 | ↑ +123% |
Visitor-reported prices
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Borrelia miyamotoi amp prb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $457.20 | $13.98 – $609.60 |
| UPMC Bedford | Everett | $201.00 | $12.66 – $301.50 |
| UPMC Carlisle | Carlisle | $70.80 | $16.17 – $100.30 |
| UPMC Community Osteopathic | Harrisburg | $70.80 | $23.60 – $100.30 |
| UPMC East | Monroeville | $697.20 | $14.11 – $929.60 |
| UPMC Northwest | Seneca | $189.00 | $30.88 – $37.90 |
| UPMC Hanover | Hanover | $70.80 | $28.07 – $56.14 |
| UPMC Horizon-Greenville | Greenville | $317.40 | $22.60 – $39.01 |