Graft xenmtrx sft rect 19x28cm at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$358.80
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.
?
What you pay up front if you don't use insurance.
$598.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$113.40 with Occunet vs $1,216.43 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Occunet | Commercial | $113.40 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $124.74 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $124.74 | ↓ -65% |
| United Healthcare | Commercial | $131.92 | ↓ -63% |
| UPMC Health Plan | Commercial | $170.10 | ↓ -53% |
| Cigna | Commercial | $173.71 | ↓ -52% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $187.11 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $189.00 | ↓ -47% |
| Aetna of PA | Medicare | $226.31 | ↓ -37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $283.50 | ↓ -21% |
| Humana | Commercial | $302.40 | ↓ -16% |
| National Provider Network | PPO | $332.64 | ↓ -7% |
| UPMC Health Plan | CHIP | $1,216.43 | ↑ +239% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| UPMC Health Plan | Managed Medicaid | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Graft xenmtrx sft rect 19x28cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,559.40 | $47.88 – $1,216.43 |
| UPMC Bedford | Everett | $2,045.40 | $57.38 – $1,216.43 |
| UPMC Cole | Coudersport | $984.60 | $311.79 – $1,312.80 |
| UPMC Community Osteopathic | Harrisburg | $461.40 | $116.20 – $1,216.43 |
| UPMC East | Monroeville | $2,583.00 | $35.53 – $1,216.43 |
| UPMC Northwest | Seneca | $255.00 | $1,471.99 – $1,471.99 |
| UPMC Horizon-Greenville | Greenville | $2,436.60 | $1,216.43 – $1,216.43 |
| UPMC Magee | Pittsburgh | $2,168.40 | $248.94 – $1,216.43 |