Cath adherent clot 10mm 6f 10 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$16,058.40
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.
$26,764.00
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.
$16.33 with Aetna of PA vs $1,060.47 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $16.33 | ↓ -100% |
| Cigna | Commercial | $49.59 | ↓ -100% |
| United Healthcare | Commercial | $60.70 | ↓ -100% |
| UPMC Health Plan | Commercial | $72.45 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $80.50 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $88.55 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $88.55 | ↓ -99% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $120.75 | ↓ -99% |
| Humana | Commercial | $128.80 | ↓ -99% |
| Occunet | Commercial | $132.60 | ↓ -99% |
| National Provider Network | PPO | $141.68 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $341.04 | ↓ -98% |
| UPMC Health Plan | CHIP | $1,060.47 | ↓ -93% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| UPMC Health Plan | Managed Medicaid | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Cath adherent clot 10mm 6f 10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $21,389.40 | $12.00 – $1,060.47 |
| UPMC Community Osteopathic | Harrisburg | $4,761.60 | $32.60 – $1,764.01 |
| UPMC East | Monroeville | $20,988.00 | $28.25 – $1,060.47 |
| UPMC Hamot | Erie | $21,438.00 | $335.12 – $335.12 |
| UPMC Northwest | Seneca | $1,504.20 | $869.77 – $1,283.27 |
| UPMC Horizon-Greenville | Greenville | $5,349.00 | $854.09 – $1,060.47 |
| UPMC Magee | Pittsburgh | $18,412.20 | $17.96 – $1,060.47 |
| UPMC McKeesport | Mckeesport | $14,453.40 | $17.96 – $1,060.47 |