Filter spider fx 3mmx320cm at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$4,727.40
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.
$7,879.00
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.
$136.85 with Aetna of PA vs $6,933.52 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $136.85 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,730.72 | ↓ -63% |
| UPMC Health Plan | CHIP | $1,738.13 | ↓ -63% |
| Occunet | Commercial | $2,363.70 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $2,600.07 | ↓ -45% |
| PA Health & Wellness | PA Medicaid HMO | $2,600.07 | ↓ -45% |
| United Healthcare | Commercial | $2,749.77 | ↓ -42% |
| UPMC Health Plan | Commercial | $3,545.55 | ↓ -25% |
| Cigna | Commercial | $3,718.89 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,939.50 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $5,909.25 | ↑ +25% |
| Humana | Commercial | $6,303.20 | ↑ +33% |
| National Provider Network | PPO | $6,933.52 | ↑ +47% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
| UPMC Health Plan | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Filter spider fx 3mmx320cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $36,062.40 | $727.51 – $3,063.20 |
| UPMC Community Osteopathic | Harrisburg | $6,785.40 | $1,738.13 – $9,612.65 |
| UPMC East | Monroeville | $13,898.40 | $50.50 – $1,738.13 |
| UPMC Hamot | Erie | $36,163.80 | $1,700.71 – $1,700.71 |
| UPMC Northwest | Seneca | $3,649.20 | $2,103.29 – $4,413.99 |
| UPMC Magee | Pittsburgh | $3,339.00 | $150.53 – $1,738.13 |
| UPMC Memorial | York | $6,785.40 | $136.85 – $1,738.13 |
| UPMC Mercy | Pittsburgh | $40,462.20 | $1,372.50 – $1,700.71 |