Ghs sleep study unattended at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$95.40
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.
$159.00
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.
$46.20 with Cigna vs $951.00 with United Healthcare — 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 |
|---|---|---|---|
| Cigna | Commercial | $46.20 | ↓ -52% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $105.83 | ↑ +11% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $112.50 | ↑ +18% |
| Humana | Commercial | $120.00 | ↑ +26% |
| National Provider Network | PPO | $132.00 | ↑ +38% |
| UPMC Health Plan | Managed Medicaid | $137.07 | ↑ +44% |
| Aetna | Medicaid | $140.81 | ↑ +48% |
| Humana | Medicare | $149.17 | ↑ +56% |
| United Healthcare | Medicare | $149.17 | ↑ +56% |
| Aetna of PA | Medicare | $149.17 | ↑ +56% |
| UPMC Health Plan | Managed Medicare | $155.46 | ↑ +63% |
| UPMC Health Plan | EPO Partners/Partners/Select | $155.76 | ↑ +63% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↑ +69% |
| Cigna | Medicare | $161.10 | ↑ +69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↑ +69% |
| AmeriHealth Caritas | Medicare | $161.10 | ↑ +69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $162.01 | ↑ +70% |
| Geisinger | Medicaid/CHIP | $173.20 | ↑ +82% |
| Occunet | Commercial | $186.46 | ↑ +95% |
| PA Health & Wellness | PA Medicaid HMO | $212.36 | ↑ +123% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $267.30 | ↑ +180% |
| UPMC Work Partners | Workers Comp | $303.16 | ↑ +218% |
| UPMC Health Plan | Commercial | $347.03 | ↑ +264% |
| UPMC Health Plan | CHIP | $563.02 | ↑ +490% |
| United Healthcare | Commercial | $951.00 | ↑ +897% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs sleep study unattended at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,899.00 | $75.00 – $303.16 |
| UPMC Bedford | Everett | $90.00 | $53.82 – $303.16 |
| UPMC Carlisle | Carlisle | $513.00 | $117.14 – $726.75 |
| UPMC Hamot | Erie | $1,442.40 | $98.61 – $303.16 |
| UPMC Hanover | Hanover | $513.00 | $120.56 – $317.26 |
| UPMC Horizon-Greenville | Greenville | $95.40 | $133.55 – $303.16 |
| UPMC Kane | Kane | $241.20 | $137.07 – $444.76 |
| UPMC Lititz | Lititz | $513.00 | $120.56 – $317.26 |