CT Angiogram of the Head at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$653.40
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.
$1,089.00
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.
$169.72 with Aetna of PA vs $1,144.92 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $169.72 | ↓ -74% |
| Humana | Medicare | $169.72 | ↓ -74% |
| United Healthcare | Medicare | $169.72 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $176.88 | ↓ -73% |
| UPMC Health Plan | EPO Partners/Partners/Select | $177.22 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.28 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -72% |
| Cigna | Medicare | $183.30 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -72% |
| Occunet | Commercial | $212.15 | ↓ -68% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $230.23 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $309.42 | ↓ -53% |
| Aetna | Medicaid | $317.86 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $365.71 | ↓ -44% |
| Geisinger | Medicaid/CHIP | $390.96 | ↓ -40% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $439.25 | ↓ -33% |
| PA Health & Wellness | PA Medicaid HMO | $479.37 | ↓ -27% |
| Cigna | Commercial | $670.35 | ↑ +3% |
| UPMC Health Plan | Commercial | $705.70 | ↑ +8% |
| UPMC Work Partners | Workers Comp | $722.50 | ↑ +11% |
| United Healthcare | Commercial | $763.00 | ↑ +17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $816.75 | ↑ +25% |
| Humana | Commercial | $871.20 | ↑ +33% |
| National Provider Network | PPO | $958.32 | ↑ +47% |
| UPMC Health Plan | CHIP | $1,144.92 | ↑ +75% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
CT Angiogram of the Head at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,282.60 | $170.18 – $4,376.80 |
| UPMC Passavant-McCandless | Pittsburgh | $3,170.40 | $157.72 – $4,491.40 |
| UPMC Hamot | Erie | $3,598.20 | $195.88 – $4,197.90 |
| UPMC Horizon-Greenville | Greenville | $2,427.00 | $151.95 – $3,438.25 |
| UPMC McKeesport | Mckeesport | $3,193.20 | $157.31 – $4,523.70 |
| UPMC Carlisle | Carlisle | $1,294.80 | $168.60 – $1,834.30 |
| UPMC Altoona | Altoona | $1,617.00 | $200.20 – $2,156.00 |
| UPMC Bedford | Everett | $1,082.40 | $61.23 – $1,623.60 |