Cath ablt rx lasr 2.0mm turbo at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$30.60
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.
$51.00
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.
$15.71 with Cigna vs $1,884.46 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 |
|---|---|---|---|
| Cigna | Commercial | $15.71 | ↓ -49% |
| United Healthcare | Commercial | $19.23 | ↓ -37% |
| UPMC Health Plan | Commercial | $22.95 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $28.05 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $28.05 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $38.25 | ↑ +25% |
| Humana | Commercial | $40.80 | ↑ +33% |
| National Provider Network | PPO | $44.88 | ↑ +47% |
| Aetna of PA | Medicare | $443.13 | ↑ +1348% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,579.83 | ↑ +5063% |
| UPMC Health Plan | CHIP | $1,884.46 | ↑ +6058% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath ablt rx lasr 2.0mm turbo at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $5,082.00 | $1,694.00 – $8,171.65 |
| UPMC Hamot | Erie | $5,460.60 | $1,552.43 – $1,552.43 |
| UPMC Memorial | York | $5,082.00 | $443.13 – $1,884.46 |
| UPMC Mercy | Pittsburgh | $3,128.40 | $1,488.05 – $1,552.43 |
| UPMC Presbyterian | Pittsburgh | $11,942.40 | $1,567.22 – $3,046.83 |
| UPMC Somerset | Somerset | $5,082.00 | $1,128.72 – $1,536.73 |
| UPMC Williamsport | Williamsport | $6,022.80 | $2,710.26 – $9,034.20 |