Cholangiogram percutaneous compl at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$2,453.40
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.
$4,089.00
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.
$193.84 with UPMC Health Plan vs $4,542.13 with Occunet — 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 | $193.84 | ↓ -92% |
| Aetna | Medicaid | $199.13 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $229.10 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $244.93 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $300.31 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $559.71 | ↓ -77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $1,053.42 | ↓ -57% |
| UPMC Health Plan | CHIP | $1,431.15 | ↓ -42% |
| UPMC Health Plan | Commercial | $1,840.05 | ↓ -25% |
| Cigna | Commercial | $2,841.30 | ↑ +16% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3,066.75 | ↑ +25% |
| Humana | Commercial | $3,271.20 | ↑ +33% |
| Aetna of PA | Medicare | $3,364.54 | ↑ +37% |
| Humana | Medicare | $3,364.54 | ↑ +37% |
| United Healthcare | Medicare | $3,364.54 | ↑ +37% |
| UPMC Health Plan | Managed Medicare | $3,506.52 | ↑ +43% |
| UPMC Health Plan | EPO Partners/Partners/Select | $3,513.25 | ↑ +43% |
| National Provider Network | PPO | $3,598.32 | ↑ +47% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,633.37 | ↑ +48% |
| Cigna | Medicare | $3,633.70 | ↑ +48% |
| AmeriHealth Caritas | Medicare | $3,633.70 | ↑ +48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,633.70 | ↑ +48% |
| United Healthcare | Commercial | $4,493.00 | ↑ +83% |
| Occunet | Commercial | $4,542.13 | ↑ +85% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cholangiogram percutaneous compl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,069.80 | $223.80 – $10,015.55 |
| UPMC Community Osteopathic | Harrisburg | $7,069.80 | $237.90 – $10,015.55 |
| UPMC East | Monroeville | $3,342.00 | $193.84 – $4,456.00 |
| UPMC Hamot | Erie | $3,495.00 | $193.84 – $4,893.48 |
| UPMC Hanover | Hanover | $7,069.80 | $223.80 – $5,394.10 |
| UPMC Kane | Kane | $2,247.00 | $193.84 – $3,496.39 |
| UPMC Lititz | Lititz | $7,069.80 | $223.80 – $5,423.23 |
| UPMC Magee | Pittsburgh | $3,153.00 | $193.84 – $3,633.70 |