Crystal identification light microscopy at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$18.60
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.
$31.00
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.
$7.24 with UPMC Work Partners vs $30.46 with UPMC Health Plan — 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 Work Partners | Workers Comp | $7.24 | ↓ -61% |
| Aetna of PA | Medicare | $7.33 | ↓ -61% |
| Occunet | Commercial | $7.33 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $7.33 | ↓ -61% |
| Humana | Medicare | $7.33 | ↓ -61% |
| United Healthcare | Medicare | $7.33 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $7.64 | ↓ -59% |
| UPMC Health Plan | EPO Partners/Partners/Select | $7.65 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.92 | ↓ -57% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.92 | ↓ -57% |
| AmeriHealth Caritas | Medicare | $7.92 | ↓ -57% |
| Cigna | Medicare | $7.92 | ↓ -57% |
| UPMC Health Plan | Managed Medicaid | $8.25 | ↓ -56% |
| Aetna | Medicaid | $8.47 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.48 | ↓ -54% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $8.62 | ↓ -54% |
| United Healthcare | Commercial | $9.99 | ↓ -46% |
| PA Health & Wellness | PA Medicaid HMO | $12.78 | ↓ -31% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.05 | ↓ -24% |
| UPMC Health Plan | Commercial | $18.78 | ↑ +1% |
| Cigna | Commercial | $19.01 | ↑ +2% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $23.25 | ↑ +25% |
| Humana | Commercial | $24.80 | ↑ +33% |
| National Provider Network | PPO | $27.28 | ↑ +47% |
| UPMC Health Plan | CHIP | $30.46 | ↑ +64% |
Visitor-reported prices
Comments
Crystal identification light microscopy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $62.40 | $7.24 – $83.20 |
| UPMC Bedford | Everett | $33.00 | $2.64 – $49.50 |
| UPMC Carlisle | Carlisle | $52.80 | $6.32 – $74.80 |
| UPMC Cole | Coudersport | $52.20 | $4.76 – $69.60 |
| UPMC Community Osteopathic | Harrisburg | $52.80 | $7.26 – $74.80 |
| UPMC East | Monroeville | $99.00 | $7.24 – $132.00 |
| UPMC Hamot | Erie | $102.60 | $7.24 – $13.81 |
| UPMC Northwest | Seneca | $36.00 | $6.65 – $8.62 |