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Carotid Artery Ultrasound (Duplex) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$598.20
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.
$997.00
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.
$137.24 with United Healthcare Community Plan for Families vs $877.36 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $137.24 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $162.65 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $163.40 | ↓ -73% |
| Aetna | Medicaid | $167.08 | ↓ -72% |
| Aetna of PA | Medicare | $183.02 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $192.23 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $205.51 | ↓ -66% |
| Humana | Medicare | $230.45 | ↓ -61% |
| United Healthcare | Medicare | $230.45 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $240.17 | ↓ -60% |
| UPMC Health Plan | EPO Partners/Partners/Select | $240.64 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -58% |
| Cigna | Medicare | $248.89 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $251.98 | ↓ -58% |
| Occunet | Commercial | $288.06 | ↓ -52% |
| UPMC Health Plan | Commercial | $310.86 | ↓ -48% |
| UPMC Health Plan | CHIP | $504.34 | ↓ -16% |
| Cigna | Commercial | $561.45 | ↓ -6% |
| UPMC Work Partners | Workers Comp | $562.15 | ↓ -6% |
| United Healthcare | Commercial | $664.00 | ↑ +11% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $747.75 | ↑ +25% |
| Humana | Commercial | $797.60 | ↑ +33% |
| National Provider Network | PPO | $877.36 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Carotid Artery Ultrasound (Duplex) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $831.00 | $162.09 – $1,108.00 |
| UPMC Passavant-McCandless | Pittsburgh | $2,764.20 | $162.09 – $3,915.95 |
| UPMC Hamot | Erie | $1,007.40 | $94.90 – $1,175.30 |
| UPMC Lititz | Lititz | $788.40 | $156.34 – $1,116.90 |
| UPMC Carlisle | Carlisle | $788.40 | $156.34 – $1,116.90 |
| UPMC Altoona | Altoona | $1,053.00 | $119.34 – $1,404.00 |
| UPMC Bedford | Everett | $499.20 | $83.15 – $748.80 |
| UPMC Cole | Coudersport | $481.20 | $155.25 – $641.60 |