Cath hawkone s directional at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$11,068.80
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.
$18,448.00
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.
$389.94 with Aetna of PA vs $13,079.44 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $389.94 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $439.61 | ↓ -96% |
| Cigna | Commercial | $4,577.80 | ↓ -59% |
| United Healthcare | Commercial | $5,603.35 | ↓ -49% |
| UPMC Health Plan | Commercial | $6,688.35 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,431.50 | ↓ -33% |
| UPMC Health Plan | CHIP | $7,653.02 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $8,174.65 | ↓ -26% |
| PA Health & Wellness | PA Medicaid HMO | $8,174.65 | ↓ -26% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $11,147.25 | ↑ +1% |
| Humana | Commercial | $11,890.40 | ↑ +7% |
| National Provider Network | PPO | $13,079.44 | ↑ +18% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath hawkone s directional at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,386.80 | $431.99 – $15,182.40 |
| UPMC Community Osteopathic | Harrisburg | $7,639.20 | $1,395.80 – $7,653.02 |
| UPMC East | Monroeville | $6,286.80 | $436.10 – $7,653.02 |
| UPMC Hamot | Erie | $6,731.40 | $431.99 – $431.99 |
| UPMC Northwest | Seneca | $7,936.80 | $1,121.17 – $9,260.83 |
| UPMC Memorial | York | $7,639.20 | $352.09 – $7,653.02 |
| UPMC Mercy | Pittsburgh | $7,680.60 | $431.99 – $6,043.15 |
| UPMC Passavant-McCandless | Pittsburgh | $5,620.20 | $436.10 – $11,105.48 |