Caregiver training strategies&tq 1st 30 minutes at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$105.00
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.
$175.00
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.
$19.24 with Highmark BCBS of PA vs $172.00 with United Healthcare — 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 | $19.24 | ↓ -82% |
| Aetna of PA | Medicare | $42.36 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $43.32 | ↓ -59% |
| UPMC Health Plan | Commercial | $78.75 | ↓ -25% |
| UPMC Health Plan | CHIP | $84.70 | ↓ -19% |
| Occunet | Commercial | $85.00 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $87.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $96.25 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $96.25 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $131.25 | ↑ +25% |
| Humana | Commercial | $140.00 | ↑ +33% |
| Cigna | Commercial | $145.55 | ↑ +39% |
| National Provider Network | PPO | $154.00 | ↑ +47% |
| United Healthcare | Commercial | $172.00 | ↑ +64% |
Visitor-reported prices
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Caregiver training strategies&tq 1st 30 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $18.90 – $137.60 |
| UPMC Bedford | Everett | $105.00 | $43.75 – $157.50 |
| UPMC Cole | Coudersport | $102.00 | $32.82 – $136.00 |
| UPMC East | Monroeville | $105.00 | $19.08 – $140.00 |
| UPMC Hamot | Erie | $105.00 | $18.90 – $49.67 |
| UPMC Northwest | Seneca | $105.00 | $49.06 – $49.67 |
| UPMC Magee | Pittsburgh | $105.00 | $19.08 – $49.67 |
| UPMC McKeesport | Mckeesport | $105.00 | $19.08 – $49.67 |