Device intraute mirena at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$3,052.80
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.
$3,816.00
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.
$657.07 with Highmark BCBS of PA vs $3,358.08 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $657.07 | ↓ -78% |
| UPMC Health Plan | CHIP | $973.84 | ↓ -68% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,018.67 | ↓ -67% |
| Cigna | Commercial | $1,175.33 | ↓ -61% |
| Aetna of PA | Medicare | $1,214.63 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $1,433.67 | ↓ -53% |
| United Healthcare | Commercial | $1,438.63 | ↓ -53% |
| UPMC Health Plan | Commercial | $1,717.20 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,908.00 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $2,098.80 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $2,098.80 | ↓ -31% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,862.00 | ↓ -6% |
| Humana | Commercial | $3,052.80 | ↑ +0% |
| National Provider Network | PPO | $3,358.08 | ↑ +10% |
| UPMC Health Plan | Managed Medicaid | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Device intraute mirena at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,857.60 | $645.67 – $4,164.45 |
| UPMC Bedford | Everett | $3,052.80 | $911.00 – $3,279.60 |
| UPMC Carlisle | Carlisle | $693.60 | $158.37 – $1,584.46 |
| UPMC Cole | Coudersport | $2,488.20 | $973.84 – $3,317.60 |
| UPMC Community Osteopathic | Harrisburg | $693.60 | $231.20 – $1,075.08 |
| UPMC East | Monroeville | $3,052.80 | $439.89 – $2,942.40 |
| UPMC Hamot | Erie | $3,239.20 | $645.67 – $3,779.24 |
| UPMC Northwest | Seneca | $3,052.80 | $1,675.77 – $1,675.77 |