Contrast exam thoracic aorta 75605-26 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$3,606.00
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.
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What you pay up front if you don't use insurance.
$6,010.00
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.
$31.62 with United Healthcare Community Plan for Families vs $12,591.27 with Cigna — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $31.62 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $42.90 | ↓ -99% |
| Aetna | Medicaid | $44.07 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $50.70 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $54.21 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $66.46 | ↓ -98% |
| United Healthcare | Commercial | $313.00 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $615.36 | ↓ -83% |
| UPMC Health Plan | Commercial | $1,172.65 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,215.01 | ↓ -66% |
| UPMC Health Plan | CHIP | $1,902.49 | ↓ -47% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,507.50 | ↑ +25% |
| Humana | Commercial | $4,808.00 | ↑ +33% |
| Humana | Medicare | $5,153.69 | ↑ +43% |
| United Healthcare | Medicare | $5,153.69 | ↑ +43% |
| Aetna of PA | Medicare | $5,153.69 | ↑ +43% |
| National Provider Network | PPO | $5,288.80 | ↑ +47% |
| UPMC Health Plan | Managed Medicare | $5,371.18 | ↑ +49% |
| UPMC Health Plan | EPO Partners/Partners/Select | $5,381.48 | ↑ +49% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,565.47 | ↑ +54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,565.99 | ↑ +54% |
| AmeriHealth Caritas | Medicare | $5,565.99 | ↑ +54% |
| Cigna | Medicare | $5,565.99 | ↑ +54% |
| Occunet | Commercial | $6,442.11 | ↑ +79% |
| Cigna | Commercial | $12,591.27 | ↑ +249% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Contrast exam thoracic aorta 75605-26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,778.20 | $27.50 – $5,037.60 |
| UPMC Carlisle | Carlisle | $9,796.20 | $36.02 – $13,877.95 |
| UPMC Community Osteopathic | Harrisburg | $9,796.20 | $36.02 – $13,877.95 |
| UPMC East | Monroeville | $5,562.00 | $42.90 – $7,416.00 |
| UPMC Hamot | Erie | $2,766.60 | $42.90 – $6,823.64 |
| UPMC Hanover | Hanover | $9,796.20 | $36.02 – $8,262.51 |
| UPMC Lititz | Lititz | $9,796.20 | $36.02 – $8,307.14 |
| UPMC Magee | Pittsburgh | $4,509.60 | $42.90 – $5,565.99 |