Clsd tx wrist trans-scaph fx w/manip 25680 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$3,391.80
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.
$5,653.00
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.
$228.70 with Aetna of PA vs $4,974.64 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $228.70 | ↓ -93% |
| United Healthcare | Medicare | $228.70 | ↓ -93% |
| Humana | Medicare | $228.70 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $238.35 | ↓ -93% |
| UPMC Health Plan | EPO Partners/Partners/Select | $238.81 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $246.40 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $246.97 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $247.00 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $247.00 | ↓ -93% |
| Cigna | Medicare | $247.00 | ↓ -93% |
| Aetna | Medicaid | $253.12 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $291.22 | ↓ -91% |
| Occunet | Commercial | $308.75 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $311.34 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $381.74 | ↓ -89% |
| United Healthcare | Commercial | $581.00 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $742.68 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $773.32 | ↓ -77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↓ -74% |
| Cigna | Commercial | $953.25 | ↓ -72% |
| UPMC Health Plan | CHIP | $2,316.94 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,543.85 | ↓ -25% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,239.75 | ↑ +25% |
| Humana | Commercial | $4,522.40 | ↑ +33% |
| National Provider Network | PPO | $4,974.64 | ↑ +47% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx wrist trans-scaph fx w/manip 25680 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $597.60 | $136.45 – $1,016.56 |
| UPMC Community Osteopathic | Harrisburg | $597.60 | $199.20 – $2,316.94 |
| UPMC Hanover | Hanover | $597.60 | $226.87 – $1,016.56 |
| UPMC Lititz | Lititz | $597.60 | $228.10 – $1,016.56 |
| UPMC Memorial | York | $597.60 | $239.91 – $1,016.56 |
| UPMC Mercy | Pittsburgh | $3,331.80 | $190.64 – $824.16 |
| UPMC Somerset | Somerset | $597.60 | $226.41 – $892.40 |
| UPMC Presbyterian | Pittsburgh | not published | $246.40 – $958.33 |