Clsd tx fx radius/ulna dist without manip 25600 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$379.80
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.
?
What you pay up front if you don't use insurance.
$633.00
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 $892.40 with United Healthcare Community Plan for Families — 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 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $125.95 | ↓ -67% |
| Aetna | Medicaid | $129.38 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $132.41 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148.86 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $159.14 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $195.13 | ↓ -49% |
| Humana | Medicare | $228.70 | ↓ -40% |
| Aetna of PA | Medicare | $228.70 | ↓ -40% |
| United Healthcare | Medicare | $228.70 | ↓ -40% |
| UPMC Health Plan | Managed Medicare | $238.35 | ↓ -37% |
| UPMC Health Plan | EPO Partners/Partners/Select | $238.81 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $246.97 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $247.00 | ↓ -35% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $247.00 | ↓ -35% |
| Cigna | Medicare | $247.00 | ↓ -35% |
| UPMC Health Plan | Commercial | $284.85 | ↓ -25% |
| Occunet | Commercial | $308.75 | ↓ -19% |
| UPMC Health Plan | CHIP | $400.34 | ↑ +5% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $474.75 | ↑ +25% |
| Humana | Commercial | $506.40 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $550.29 | ↑ +45% |
| National Provider Network | PPO | $557.04 | ↑ +47% |
| United Healthcare | Commercial | $581.00 | ↑ +53% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↑ +135% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna dist without manip 25600 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $574.80 | $114.50 – $766.40 |
| UPMC Bedford | Everett | $462.60 | $82.51 – $693.90 |
| UPMC Carlisle | Carlisle | $520.80 | $118.92 – $1,016.56 |
| UPMC Cole | Coudersport | $1,029.60 | $64.03 – $585.48 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $145.41 – $1,016.56 |
| UPMC Hamot | Erie | $539.40 | $125.95 – $602.39 |
| UPMC Hanover | Hanover | $520.80 | $145.41 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $478.80 | $125.95 – $550.29 |