Chemodenerv 1 extremity 1-4 64642 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$483.60
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.
?
What you pay up front if you don't use insurance.
$806.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$91.23 with Cigna vs $1,324.34 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $91.23 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $94.27 | ↓ -81% |
| Aetna | Medicaid | $96.84 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $102.45 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $111.42 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $119.11 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $146.05 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $191.73 | ↓ -60% |
| UPMC Health Plan | Commercial | $362.70 | ↓ -25% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $604.50 | ↑ +25% |
| Humana | Commercial | $644.80 | ↑ +33% |
| Humana | Medicare | $660.23 | ↑ +37% |
| United Healthcare | Medicare | $660.23 | ↑ +37% |
| Aetna of PA | Medicare | $660.23 | ↑ +37% |
| UPMC Health Plan | Managed Medicare | $688.09 | ↑ +42% |
| UPMC Health Plan | EPO Partners/Partners/Select | $689.41 | ↑ +43% |
| National Provider Network | PPO | $709.28 | ↑ +47% |
| Highmark Wholecare (prev Gateway) | Medicare | $712.98 | ↑ +47% |
| AmeriHealth Caritas | Medicare | $713.05 | ↑ +47% |
| Cigna | Medicare | $713.05 | ↑ +47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $713.05 | ↑ +47% |
| United Healthcare | Commercial | $882.00 | ↑ +82% |
| Occunet | Commercial | $891.31 | ↑ +84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↑ +85% |
| UPMC Health Plan | CHIP | $1,324.34 | ↑ +174% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Chemodenerv 1 extremity 1-4 64642 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $134.40 | $27.72 – $191.73 |
| UPMC Horizon-Greenville | Greenville | $483.60 | $94.27 – $713.05 |
| UPMC Magee | Pittsburgh | $558.60 | $94.27 – $713.05 |
| UPMC McKeesport | Mckeesport | $522.60 | $94.27 – $726.25 |
| UPMC Williamsport | Williamsport | $647.40 | $94.27 – $993.28 |
| UPMC Mercy | Pittsburgh | not published | $94.27 – $726.25 |