Ghs HIV antibody at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$47.40
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.
$79.00
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.
$11.11 with Aetna of PA vs $118.44 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $11.11 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $13.54 | ↓ -71% |
| Occunet | Commercial | $13.71 | ↓ -71% |
| Humana | Medicare | $13.71 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $13.71 | ↓ -71% |
| United Healthcare | Medicare | $13.71 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $14.29 | ↓ -70% |
| UPMC Health Plan | EPO Partners/Partners/Select | $14.32 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $14.81 | ↓ -69% |
| Cigna | Medicare | $14.81 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.81 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.81 | ↓ -69% |
| United Healthcare | Commercial | $19.17 | ↓ -60% |
| UPMC Health Plan | Managed Medicaid | $20.57 | ↓ -57% |
| Aetna | Medicaid | $21.13 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.14 | ↓ -55% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $21.50 | ↓ -55% |
| PA Health & Wellness | PA Medicaid HMO | $31.87 | ↓ -33% |
| Cigna | Commercial | $35.60 | ↓ -25% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $39.10 | ↓ -18% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $52.50 | ↑ +11% |
| Humana | Commercial | $56.00 | ↑ +18% |
| National Provider Network | PPO | $61.60 | ↑ +30% |
| UPMC Health Plan | Commercial | $73.00 | ↑ +54% |
| UPMC Health Plan | CHIP | $118.44 | ↑ +150% |
Visitor-reported prices
Comments
Ghs HIV antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $57.60 | $13.57 – $118.44 |
| UPMC Hamot | Erie | $111.60 | $13.54 – $38.42 |
| UPMC Northwest | Seneca | $255.60 | $12.43 – $21.50 |
| UPMC Horizon-Greenville | Greenville | $122.40 | $12.27 – $25.99 |
| UPMC Kane | Kane | $178.20 | $13.54 – $59.17 |
| UPMC Magee | Pittsburgh | $138.60 | $12.83 – $38.79 |
| UPMC McKeesport | Mckeesport | $186.60 | $12.71 – $38.79 |
| UPMC Mercy | Pittsburgh | $93.00 | $11.43 – $38.42 |