Event monitor at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$237.60
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.
$396.00
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.
$16.17 with UPMC Health Plan vs $348.48 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 | $16.17 | ↓ -93% |
| Aetna | Medicaid | $16.61 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $16.91 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.11 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $20.43 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $25.05 | ↓ -89% |
| Humana | Medicare | $35.55 | ↓ -85% |
| United Healthcare | Medicare | $35.55 | ↓ -85% |
| Aetna of PA | Medicare | $35.55 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $37.05 | ↓ -84% |
| UPMC Health Plan | EPO Partners/Partners/Select | $37.12 | ↓ -84% |
| Cigna | Medicare | $38.39 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.39 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $38.39 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $38.39 | ↓ -84% |
| Occunet | Commercial | $44.44 | ↓ -81% |
| UPMC Health Plan | Commercial | $73.76 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $84.80 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $104.69 | ↓ -56% |
| UPMC Health Plan | CHIP | $119.67 | ↓ -50% |
| Cigna | Commercial | $121.97 | ↓ -49% |
| United Healthcare | Commercial | $169.00 | ↓ -29% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $297.00 | ↑ +25% |
| Humana | Commercial | $316.80 | ↑ +33% |
| National Provider Network | PPO | $348.48 | ↑ +47% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Event monitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $601.20 | $14.70 – $801.60 |
| UPMC Bedford | Everett | $597.60 | $12.83 – $896.40 |
| UPMC Cole | Coudersport | $207.00 | $10.14 – $276.00 |
| UPMC East | Monroeville | $430.80 | $16.17 – $574.40 |
| UPMC Hamot | Erie | $526.80 | $16.17 – $114.81 |
| UPMC Northwest | Seneca | $228.60 | $16.17 – $104.69 |
| UPMC Hanover | Hanover | $130.80 | $18.67 – $109.56 |
| UPMC Horizon-Greenville | Greenville | $463.20 | $16.17 – $104.69 |