Chromo high res and frag x - sendout at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$3,739.80
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.
$6,233.00
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.
$50.19 with UPMC Health Plan vs $982.96 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 | $50.19 | ↓ -99% |
| Aetna | Medicaid | $51.56 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.58 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $52.47 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $56.38 | ↓ -98% |
| Occunet | Commercial | $57.04 | ↓ -98% |
| Aetna of PA | Medicare | $57.04 | ↓ -98% |
| United Healthcare | Commercial | $57.04 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $57.04 | ↓ -98% |
| Humana | Medicare | $57.04 | ↓ -98% |
| United Healthcare | Medicare | $57.04 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $59.45 | ↓ -98% |
| UPMC Health Plan | EPO Partners/Partners/Select | $59.56 | ↓ -98% |
| Cigna | Medicare | $61.60 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.60 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.60 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $61.60 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $77.76 | ↓ -98% |
| Cigna | Commercial | $148.15 | ↓ -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 | $156.06 | ↓ -96% |
| UPMC Health Plan | Commercial | $245.80 | ↓ -93% |
| UPMC Health Plan | CHIP | $398.78 | ↓ -89% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $837.75 | ↓ -78% |
| Humana | Commercial | $893.60 | ↓ -76% |
| National Provider Network | PPO | $982.96 | ↓ -74% |
Visitor-reported prices
Comments
Chromo high res and frag x - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $329.40 | $43.94 – $466.65 |
| UPMC Community Osteopathic | Harrisburg | $329.40 | $45.63 – $466.65 |
| UPMC Hanover | Hanover | $329.40 | $43.94 – $91.26 |
| UPMC Lititz | Lititz | $329.40 | $43.94 – $91.26 |
| UPMC Magee | Pittsburgh | $1,007.40 | $50.19 – $154.81 |
| UPMC Memorial | York | $329.40 | $43.94 – $282.61 |
| UPMC Muncy | Muncy | $688.80 | $50.19 – $77.76 |
| UPMC Passavant-McCandless | Pittsburgh | $1,067.40 | $50.19 – $154.81 |