Cell function assay w/stim at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$721.80
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.
$1,203.00
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.
$85.62 with UPMC Health Plan vs $1,058.64 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $85.62 | ↓ -88% |
| Aetna | Medicaid | $87.96 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $87.98 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $89.52 | ↓ -88% |
| United Healthcare | Commercial | $97.30 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $108.19 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $132.65 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $134.27 | ↓ -81% |
| United Healthcare | Medicare | $135.86 | ↓ -81% |
| Aetna of PA | Medicare | $135.86 | ↓ -81% |
| Humana | Medicare | $135.86 | ↓ -81% |
| Occunet | Commercial | $135.86 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $141.59 | ↓ -80% |
| UPMC Health Plan | EPO Partners/Partners/Select | $141.87 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $146.72 | ↓ -80% |
| Cigna | Medicare | $146.73 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $146.73 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $146.73 | ↓ -80% |
| UPMC Health Plan | Commercial | $149.77 | ↓ -79% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $184.05 | ↓ -75% |
| UPMC Health Plan | CHIP | $242.98 | ↓ -66% |
| Cigna | Commercial | $352.81 | ↓ -51% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $902.25 | ↑ +25% |
| Humana | Commercial | $962.40 | ↑ +33% |
| National Provider Network | PPO | $1,058.64 | ↑ +47% |
Visitor-reported prices
Comments
Cell function assay w/stim at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $898.80 | $77.84 – $1,198.40 |
| UPMC Bedford | Everett | $913.20 | $49.02 – $1,369.80 |
| UPMC Carlisle | Carlisle | $490.20 | $12.47 – $694.45 |
| UPMC Community Osteopathic | Harrisburg | $490.20 | $77.84 – $694.45 |
| UPMC East | Monroeville | $717.60 | $66.84 – $956.80 |
| UPMC Hamot | Erie | $1,008.00 | $77.84 – $180.86 |
| UPMC Northwest | Seneca | $1,146.00 | $67.46 – $142.65 |
| UPMC Hanover | Hanover | $490.20 | $12.47 – $217.38 |