Gw stiffened micro access kit at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$777.00
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.
$1,295.00
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.
$7.70 with Cigna vs $418.71 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 |
|---|---|---|---|
| Cigna | Commercial | $7.70 | ↓ -99% |
| United Healthcare | Commercial | $9.43 | ↓ -99% |
| UPMC Health Plan | Commercial | $11.25 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.50 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $13.75 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $13.75 | ↓ -98% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $18.75 | ↓ -98% |
| Humana | Commercial | $20.00 | ↓ -97% |
| National Provider Network | PPO | $22.00 | ↓ -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 | $48.75 | ↓ -94% |
| Aetna of PA | Medicare | $82.29 | ↓ -89% |
| Occunet | Commercial | $130.20 | ↓ -83% |
| UPMC Health Plan | CHIP | $418.71 | ↓ -46% |
| 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
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Gw stiffened micro access kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,307.80 | $28.50 – $418.71 |
| UPMC Bedford | Everett | $557.40 | $60.75 – $418.71 |
| UPMC Cole | Coudersport | $291.60 | $92.34 – $388.80 |
| UPMC Community Osteopathic | Harrisburg | $1,252.80 | $5.40 – $418.71 |
| UPMC East | Monroeville | $8,089.80 | $7.75 – $418.71 |
| UPMC Hamot | Erie | $3,858.60 | $47.90 – $47.90 |
| UPMC Northwest | Seneca | $496.80 | $124.32 – $506.68 |
| UPMC Horizon-Greenville | Greenville | $1,013.40 | $122.08 – $418.71 |