Doppler echo complete at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$340.20
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.
$567.00
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.
$47.46 with Aetna of PA vs $498.96 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $47.46 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $47.60 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $66.58 | ↓ -80% |
| Aetna | Medicaid | $68.40 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $78.70 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $84.13 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $86.64 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $103.16 | ↓ -70% |
| UPMC Health Plan | Commercial | $156.43 | ↓ -54% |
| Cigna | Commercial | $174.64 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $203.12 | ↓ -40% |
| United Healthcare | Commercial | $208.66 | ↓ -39% |
| UPMC Health Plan | CHIP | $253.79 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $283.50 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $425.25 | ↑ +25% |
| Humana | Commercial | $453.60 | ↑ +33% |
| National Provider Network | PPO | $498.96 | ↑ +47% |
Visitor-reported prices
Comments
Doppler echo complete at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $629.40 | $41.39 – $839.20 |
| UPMC Bedford | Everett | $383.40 | $63.56 – $575.10 |
| UPMC Carlisle | Carlisle | $362.40 | $54.22 – $1,907.00 |
| UPMC Cole | Coudersport | $135.60 | $61.00 – $203.12 |
| UPMC Community Osteopathic | Harrisburg | $471.00 | $28.20 – $532.29 |
| UPMC East | Monroeville | $551.40 | $66.58 – $735.20 |
| UPMC Hamot | Erie | $495.00 | $66.58 – $203.12 |
| UPMC Hanover | Hanover | $362.40 | $54.22 – $1,907.00 |