Bronch ebus samplng 3/> node at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$2,476.20
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.
$4,127.00
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.
$230.59 with UPMC Health Plan vs $4,745.33 with Occunet — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $230.59 | ↓ -91% |
| Aetna | Medicaid | $236.88 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $272.54 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $291.36 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $357.25 | ↓ -86% |
| UPMC Health Plan | CHIP | $380.07 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $656.59 | ↓ -73% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $1,235.75 | ↓ -50% |
| UPMC Health Plan | Commercial | $1,857.15 | ↓ -25% |
| Cigna | Commercial | $2,841.30 | ↑ +15% |
| United Healthcare | Commercial | $2,961.00 | ↑ +20% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3,095.25 | ↑ +25% |
| Humana | Commercial | $3,301.60 | ↑ +33% |
| Humana | Medicare | $3,515.06 | ↑ +42% |
| United Healthcare | Medicare | $3,515.06 | ↑ +42% |
| Aetna of PA | Medicare | $3,515.06 | ↑ +42% |
| National Provider Network | PPO | $3,631.76 | ↑ +47% |
| UPMC Health Plan | Managed Medicare | $3,663.40 | ↑ +48% |
| UPMC Health Plan | EPO Partners/Partners/Select | $3,670.43 | ↑ +48% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,795.91 | ↑ +53% |
| Cigna | Medicare | $3,796.26 | ↑ +53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,796.26 | ↑ +53% |
| AmeriHealth Caritas | Medicare | $3,796.26 | ↑ +53% |
| Occunet | Commercial | $4,745.33 | ↑ +92% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Bronch ebus samplng 3/> node at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $973.80 | $209.63 – $1,298.40 |
| UPMC Carlisle | Carlisle | $8,557.20 | $266.23 – $12,122.70 |
| UPMC Community Osteopathic | Harrisburg | $8,557.20 | $266.23 – $12,122.70 |
| UPMC Hanover | Hanover | $8,557.20 | $266.23 – $5,635.42 |
| UPMC Lititz | Lititz | $8,557.20 | $266.23 – $5,665.87 |
| UPMC Memorial | York | $8,557.20 | $266.23 – $5,656.67 |
| UPMC Mercy | Pittsburgh | $2,476.20 | $210.10 – $3,866.57 |
| UPMC Presbyterian | Pittsburgh | $4,643.40 | $215.38 – $3,866.57 |