CPAP or BiPAP Setup (first day) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$327.00
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.
$545.00
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.
$39.40 with United Healthcare Community Plan for Families vs $527.58 with UPMC Health Plan — 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 | $39.40 | ↓ -88% |
| Cigna | Commercial | $145.55 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $161.96 | ↓ -50% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $170.23 | ↓ -48% |
| Humana | Medicare | $193.91 | ↓ -41% |
| United Healthcare | Medicare | $193.91 | ↓ -41% |
| Aetna of PA | Medicare | $193.91 | ↓ -41% |
| United Healthcare | Commercial | $200.56 | ↓ -39% |
| UPMC Health Plan | Managed Medicare | $202.09 | ↓ -38% |
| UPMC Health Plan | EPO Partners/Partners/Select | $202.48 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $209.40 | ↓ -36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $209.42 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $209.42 | ↓ -36% |
| Cigna | Medicare | $209.42 | ↓ -36% |
| Occunet | Commercial | $242.39 | ↓ -26% |
| PA Health & Wellness | PA Medicaid HMO | $299.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $299.75 | ↓ -8% |
| UPMC Health Plan | Commercial | $325.18 | ↓ -1% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $408.75 | ↑ +25% |
| Humana | Commercial | $436.00 | ↑ +33% |
| National Provider Network | PPO | $479.60 | ↑ +47% |
| UPMC Health Plan | CHIP | $527.58 | ↑ +61% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
CPAP or BiPAP Setup (first day) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $690.60 | $167.27 – $920.80 |
| UPMC Bedford | Everett | $519.60 | $69.96 – $779.40 |
| UPMC Carlisle | Carlisle | $627.00 | $44.88 – $888.25 |
| UPMC Cole | Coudersport | $393.60 | $39.06 – $524.80 |
| UPMC Community Osteopathic | Harrisburg | $627.00 | $44.88 – $888.25 |
| UPMC East | Monroeville | $866.40 | $138.25 – $1,155.20 |
| UPMC Hamot | Erie | $1,571.40 | $95.56 – $273.12 |
| UPMC Northwest | Seneca | $428.40 | $161.96 – $209.42 |