Dexametha opth insert 0.1 mg at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$505.60
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.
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What you pay up front if you don't use insurance.
$632.00
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.
$64.99 with UPMC Health Plan vs $556.16 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $64.99 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $87.49 | ↓ -83% |
| Aetna of PA | Medicare | $98.14 | ↓ -81% |
| United Healthcare | Medicare | $98.14 | ↓ -81% |
| Humana | Medicare | $98.14 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $102.28 | ↓ -80% |
| UPMC Health Plan | EPO Partners/Partners/Select | $102.48 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $102.94 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $102.94 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $102.94 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $105.98 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $105.99 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $105.99 | ↓ -79% |
| Cigna | Medicare | $105.99 | ↓ -79% |
| Occunet | Commercial | $122.67 | ↓ -76% |
| Cigna | Commercial | $194.66 | ↓ -61% |
| UPMC Health Plan | CHIP | $221.20 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $237.44 | ↓ -53% |
| United Healthcare | Commercial | $238.26 | ↓ -53% |
| UPMC Health Plan | Commercial | $284.40 | ↓ -44% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $474.00 | ↓ -6% |
| Humana | Commercial | $505.60 | ↑ +0% |
| National Provider Network | PPO | $556.16 | ↑ +10% |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
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Dexametha opth insert 0.1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $477.60 | $64.99 – $477.60 |
| UPMC Bedford | Everett | $505.60 | $35.41 – $568.80 |
| UPMC Carlisle | Carlisle | $354.00 | $80.83 – $501.50 |
| UPMC Community Osteopathic | Harrisburg | $354.00 | $100.25 – $501.50 |
| UPMC East | Monroeville | $505.60 | $64.99 – $505.60 |
| UPMC Hamot | Erie | $528.00 | $64.99 – $122.32 |
| UPMC Northwest | Seneca | $505.60 | $64.99 – $105.99 |
| UPMC Hanover | Hanover | $354.00 | $97.35 – $157.33 |