C-kit mutation liquid tumor - sendout at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$4,054.80
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.
$6,758.00
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.
$234.33 with Highmark BCBS of PA vs $5,947.04 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 | $234.33 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $289.97 | ↓ -93% |
| Aetna | Medicaid | $297.88 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $297.96 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $303.15 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $325.66 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $329.51 | ↓ -92% |
| Aetna of PA | Medicare | $329.51 | ↓ -92% |
| Humana | Medicare | $329.51 | ↓ -92% |
| United Healthcare | Medicare | $329.51 | ↓ -92% |
| Occunet | Commercial | $329.51 | ↓ -92% |
| United Healthcare | Commercial | $329.51 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $343.42 | ↓ -92% |
| UPMC Health Plan | EPO Partners/Partners/Select | $344.07 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $355.84 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $355.87 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $355.87 | ↓ -91% |
| Cigna | Medicare | $355.87 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $449.24 | ↓ -89% |
| Cigna | Commercial | $855.69 | ↓ -79% |
| UPMC Health Plan | Commercial | $858.99 | ↓ -79% |
| UPMC Health Plan | CHIP | $1,393.62 | ↓ -66% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $5,068.50 | ↑ +25% |
| Humana | Commercial | $5,406.40 | ↑ +33% |
| National Provider Network | PPO | $5,947.04 | ↑ +47% |
Visitor-reported prices
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C-kit mutation liquid tumor - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,723.60 | $230.27 – $4,964.80 |
| UPMC Bedford | Everett | $4,054.80 | $118.89 – $6,082.20 |
| UPMC Cole | Coudersport | $1,123.20 | $53.00 – $1,497.60 |
| UPMC Northwest | Seneca | $4,054.80 | $289.97 – $355.87 |
| UPMC Magee | Pittsburgh | $4,054.80 | $232.46 – $449.24 |
| UPMC Passavant-McCandless | Pittsburgh | $4,055.40 | $232.46 – $378.68 |
| UPMC Presbyterian | Pittsburgh | $4,054.80 | $232.46 – $410.36 |
| UPMC Williamsport | Williamsport | $3,941.40 | $289.97 – $359.75 |