Buprenorphine X-ray over 100 mg at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$6,615.60
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.
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What you pay up front if you don't use insurance.
$11,026.00
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.
$1,119.45 with Highmark BCBS of PA vs $9,702.88 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,119.45 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $1,273.17 | ↓ -81% |
| United Healthcare | Medicare | $2,016.42 | ↓ -70% |
| Humana | Medicare | $2,016.42 | ↓ -70% |
| PA Health & Wellness | PA Medicaid HMO | $2,016.42 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $2,016.42 | ↓ -70% |
| Aetna of PA | Medicare | $2,016.42 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,016.42 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $2,101.51 | ↓ -68% |
| UPMC Health Plan | EPO Partners/Partners/Select | $2,105.55 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,177.53 | ↓ -67% |
| Cigna | Medicare | $2,177.73 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $2,177.73 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,177.73 | ↓ -67% |
| UPMC Health Plan | CHIP | $2,189.76 | ↓ -67% |
| Occunet | Commercial | $2,520.53 | ↓ -62% |
| Cigna | Commercial | $3,396.01 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $4,142.47 | ↓ -37% |
| United Healthcare | Commercial | $4,156.80 | ↓ -37% |
| UPMC Health Plan | Commercial | $4,961.70 | ↓ -25% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $8,269.50 | ↑ +25% |
| Humana | Commercial | $8,820.80 | ↑ +33% |
| National Provider Network | PPO | $9,702.88 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Buprenorphine X-ray over 100 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,427.00 | $1,100.04 – $7,236.00 |
| UPMC Bedford | Everett | $7,360.20 | $727.52 – $11,040.30 |
| UPMC Carlisle | Carlisle | $806.40 | $184.13 – $3,226.27 |
| UPMC Community Osteopathic | Harrisburg | $806.40 | $268.80 – $2,480.20 |
| UPMC East | Monroeville | $7,886.40 | $1,110.51 – $10,515.20 |
| UPMC Hamot | Erie | $5,965.60 | $1,100.04 – $3,805.99 |
| UPMC Northwest | Seneca | $6,604.80 | $1,273.17 – $2,177.73 |
| UPMC Hanover | Hanover | $806.40 | $1,996.26 – $3,226.27 |