Carbamazepine free -sendout at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$40.20
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.
?
What you pay up front if you don't use insurance.
$67.00
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.
$13.08 with United Healthcare Community Plan for Families vs $78.85 with UPMC Health Plan — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $13.08 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.17 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $18.42 | ↓ -54% |
| United Healthcare | Commercial | $18.64 | ↓ -54% |
| Occunet | Commercial | $18.64 | ↓ -54% |
| United Healthcare | Medicare | $18.64 | ↓ -54% |
| Humana | Medicare | $18.64 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $18.64 | ↓ -54% |
| Aetna of PA | Medicare | $18.64 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $19.43 | ↓ -52% |
| UPMC Health Plan | EPO Partners/Partners/Select | $19.46 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.13 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.13 | ↓ -50% |
| Cigna | Medicare | $20.13 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $20.13 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $36.85 | ↓ -8% |
| Cigna | Commercial | $48.43 | ↑ +20% |
| UPMC Health Plan | Commercial | $48.60 | ↑ +21% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $50.25 | ↑ +25% |
| Humana | Commercial | $53.60 | ↑ +33% |
| National Provider Network | PPO | $58.96 | ↑ +47% |
| UPMC Health Plan | CHIP | $78.85 | ↑ +96% |
Visitor-reported prices
Comments
Carbamazepine free -sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $208.80 | $13.92 – $278.40 |
| UPMC Carlisle | Carlisle | $67.20 | $10.25 – $95.20 |
| UPMC Community Osteopathic | Harrisburg | $67.20 | $14.89 – $95.20 |
| UPMC Hamot | Erie | $306.00 | $13.92 – $20.13 |
| UPMC Northwest | Seneca | $89.40 | $16.90 – $20.13 |
| UPMC Hanover | Hanover | $67.20 | $14.89 – $78.85 |
| UPMC Horizon-Greenville | Greenville | $85.20 | $16.69 – $22.51 |
| UPMC Lititz | Lititz | $67.20 | $14.89 – $78.85 |