Cath ablt clsfast 7fx100cmx at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$2,513.40
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.
$4,189.00
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.
$653.79 with Highmark BCBS of PA vs $4,098.86 with UPMC Health Plan — 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 | $653.79 | ↓ -74% |
| Aetna of PA | Medicare | $739.92 | ↓ -71% |
| Cigna | Commercial | $1,290.21 | ↓ -49% |
| United Healthcare | Commercial | $1,579.25 | ↓ -37% |
| UPMC Health Plan | Commercial | $1,885.05 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,094.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $2,303.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,303.95 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3,141.75 | ↑ +25% |
| Humana | Commercial | $3,351.20 | ↑ +33% |
| National Provider Network | PPO | $3,686.32 | ↑ +47% |
| UPMC Health Plan | CHIP | $4,098.86 | ↑ +63% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath ablt clsfast 7fx100cmx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,759.80 | $642.46 – $4,098.86 |
| UPMC Community Osteopathic | Harrisburg | $2,271.00 | $757.00 – $4,098.86 |
| UPMC Hamot | Erie | $1,861.20 | $642.46 – $642.46 |
| UPMC Northwest | Seneca | $1,363.20 | $1,667.42 – $4,959.99 |
| UPMC Horizon-Greenville | Greenville | $1,048.20 | $1,637.35 – $4,098.86 |
| UPMC Magee | Pittsburgh | $5,112.00 | $648.57 – $4,098.86 |
| UPMC McKeesport | Mckeesport | $8,284.20 | $648.57 – $4,098.86 |
| UPMC Memorial | York | $2,271.00 | $523.63 – $4,098.86 |