Clot factor xii hageman at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$75.00
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.
$125.00
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.
$14.30 with UPMC Health Plan vs $110.00 with National Provider Network — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -81% |
| Aetna | Medicaid | $14.69 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.69 | ↓ -80% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $14.95 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $18.07 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $19.13 | ↓ -74% |
| United Healthcare | Medicare | $19.35 | ↓ -74% |
| Occunet | Commercial | $19.35 | ↓ -74% |
| Aetna of PA | Medicare | $19.35 | ↓ -74% |
| Humana | Medicare | $19.35 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $20.17 | ↓ -73% |
| UPMC Health Plan | EPO Partners/Partners/Select | $20.21 | ↓ -73% |
| Cigna | Medicare | $20.90 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.90 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.90 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $20.90 | ↓ -72% |
| PA Health & Wellness | PA Medicaid HMO | $22.15 | ↓ -70% |
| United Healthcare | Commercial | $27.04 | ↓ -64% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $39.35 | ↓ -48% |
| Cigna | Commercial | $50.25 | ↓ -33% |
| UPMC Health Plan | Commercial | $63.82 | ↓ -15% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $93.75 | ↑ +25% |
| Humana | Commercial | $100.00 | ↑ +33% |
| UPMC Health Plan | CHIP | $103.54 | ↑ +38% |
| National Provider Network | PPO | $110.00 | ↑ +47% |
Visitor-reported prices
Comments
Clot factor xii hageman at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $163.20 | $13.00 – $217.60 |
| UPMC Bedford | Everett | $86.40 | $6.98 – $129.60 |
| UPMC Carlisle | Carlisle | $97.80 | $13.00 – $138.55 |
| UPMC Community Osteopathic | Harrisburg | $97.80 | $13.00 – $103.54 |
| UPMC East | Monroeville | $299.40 | $13.00 – $399.20 |
| UPMC Hamot | Erie | $274.20 | $13.00 – $38.66 |
| UPMC Northwest | Seneca | $131.40 | $14.30 – $20.90 |
| UPMC Hanover | Hanover | $97.80 | $13.00 – $30.96 |