Genetic tstg severe inh cond at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$4,156.20
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.
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What you pay up front if you don't use insurance.
$6,927.00
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.
$1,521.77 with Highmark BCBS of PA vs $11,446.40 with UPMC Health Plan — 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 | $1,521.77 | ↓ -63% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,717.66 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $2,419.96 | ↓ -42% |
| United Healthcare | Commercial | $2,448.56 | ↓ -41% |
| Occunet | Commercial | $2,448.56 | ↓ -41% |
| United Healthcare | Medicare | $2,448.56 | ↓ -41% |
| Humana | Medicare | $2,448.56 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $2,448.56 | ↓ -41% |
| Aetna of PA | Medicare | $2,448.56 | ↓ -41% |
| UPMC Health Plan | Managed Medicare | $2,551.89 | ↓ -39% |
| UPMC Health Plan | EPO Partners/Partners/Select | $2,556.79 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,644.20 | ↓ -36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,644.44 | ↓ -36% |
| Cigna | Medicare | $2,644.44 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $2,644.44 | ↓ -36% |
| PA Health & Wellness | PA Medicaid HMO | $3,428.15 | ↓ -18% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,674.75 | ↑ +12% |
| Humana | Commercial | $4,986.40 | ↑ +20% |
| National Provider Network | PPO | $5,485.04 | ↑ +32% |
| Cigna | Commercial | $6,358.60 | ↑ +53% |
| UPMC Health Plan | Commercial | $7,055.27 | ↑ +70% |
| UPMC Health Plan | CHIP | $11,446.40 | ↑ +175% |
Visitor-reported prices
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Genetic tstg severe inh cond at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,117.20 | $1,127.00 – $2,644.44 |
| UPMC Bedford | Everett | $3,739.80 | $883.44 – $5,609.70 |
| UPMC East | Monroeville | $4,156.20 | $1,509.63 – $4,986.40 |
| UPMC Hamot | Erie | $14,904.00 | $1,495.39 – $2,644.44 |
| UPMC Northwest | Seneca | $14,904.00 | $2,220.60 – $2,644.44 |
| UPMC Horizon-Greenville | Greenville | $11,694.00 | $2,192.20 – $2,644.44 |
| UPMC Magee | Pittsburgh | $17,123.40 | $1,509.63 – $2,693.42 |
| UPMC McKeesport | Mckeesport | $4,156.20 | $1,509.63 – $2,693.42 |