Culture screening strep group a at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$51.00
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.
?
What you pay up front if you don't use insurance.
$85.00
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.
$5.72 with UPMC Health Plan vs $63.36 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $5.72 | ↓ -89% |
| Aetna | Medicaid | $5.88 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.88 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $5.98 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $6.55 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $6.63 | ↓ -87% |
| Occunet | Commercial | $6.63 | ↓ -87% |
| Aetna of PA | Medicare | $6.63 | ↓ -87% |
| United Healthcare | Medicare | $6.63 | ↓ -87% |
| Humana | Medicare | $6.63 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $6.91 | ↓ -86% |
| UPMC Health Plan | EPO Partners/Partners/Select | $6.92 | ↓ -86% |
| Cigna | Medicare | $7.16 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.16 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.16 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $7.16 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $8.86 | ↓ -83% |
| United Healthcare | Commercial | $9.26 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11.67 | ↓ -77% |
| Cigna | Commercial | $17.21 | ↓ -66% |
| UPMC Health Plan | Commercial | $23.99 | ↓ -53% |
| UPMC Health Plan | CHIP | $38.92 | ↓ -24% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $54.00 | ↑ +6% |
| Humana | Commercial | $57.60 | ↑ +13% |
| National Provider Network | PPO | $63.36 | ↑ +24% |
Visitor-reported prices
Comments
Culture screening strep group a at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $73.20 | $5.20 – $72.00 |
| UPMC Bedford | Everett | $78.60 | $2.39 – $82.80 |
| UPMC Carlisle | Carlisle | $37.80 | $5.20 – $53.55 |
| UPMC Cole | Coudersport | $44.40 | $4.31 – $59.20 |
| UPMC Community Osteopathic | Harrisburg | $37.80 | $5.20 – $53.55 |
| UPMC East | Monroeville | $88.20 | $5.20 – $83.20 |
| UPMC Hamot | Erie | $74.40 | $5.20 – $11.47 |
| UPMC Northwest | Seneca | $60.60 | $5.72 – $7.16 |