Debrid/rmv fgn bdy/open fx/skin/sq 11010 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$3,774.00
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.
$6,290.00
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.
$670.79 with United Healthcare vs $5,535.20 with National Provider Network — 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 | Medicare | $670.79 | ↓ -82% |
| Humana | Medicare | $670.79 | ↓ -82% |
| Aetna of PA | Medicare | $670.79 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $699.10 | ↓ -81% |
| UPMC Health Plan | EPO Partners/Partners/Select | $700.44 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.39 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $724.45 | ↓ -81% |
| Cigna | Medicare | $724.45 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $724.45 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $769.79 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $798.96 | ↓ -79% |
| United Healthcare | Commercial | $882.00 | ↓ -77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↓ -76% |
| Occunet | Commercial | $905.57 | ↓ -76% |
| Cigna | Commercial | $953.25 | ↓ -75% |
| UPMC Health Plan | CHIP | $1,522.08 | ↓ -60% |
| UPMC Health Plan | Commercial | $2,830.50 | ↓ -25% |
| Geisinger | Medicaid/CHIP | $3,459.50 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $3,459.50 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,717.50 | ↑ +25% |
| Humana | Commercial | $5,032.00 | ↑ +33% |
| National Provider Network | PPO | $5,535.20 | ↑ +47% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Debrid/rmv fgn bdy/open fx/skin/sq 11010 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,050.20 | $684.07 – $6,733.60 |
| UPMC Bedford | Everett | $5,263.20 | $242.02 – $7,894.80 |
| UPMC Cole | Coudersport | $553.20 | $255.58 – $1,041.88 |
| UPMC Hamot | Erie | $1,956.60 | $774.17 – $975.61 |
| UPMC Northwest | Seneca | $2,350.20 | $608.34 – $769.79 |
| UPMC Horizon-Greenville | Greenville | $3,774.00 | $600.56 – $1,258.74 |
| UPMC McKeesport | Mckeesport | $4,214.40 | $546.10 – $792.58 |
| UPMC Mercy | Pittsburgh | $2,565.60 | $559.17 – $884.36 |