Icatibant injection at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$25,465.20
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.
$42,442.00
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.
$130.39 with Humana vs $1,243.44 with National Provider Network — 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 |
|---|---|---|---|
| Humana | Medicare | $130.39 | ↓ -99% |
| United Healthcare | Medicare | $130.39 | ↓ -99% |
| Aetna of PA | Medicare | $130.39 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $135.89 | ↓ -99% |
| UPMC Health Plan | EPO Partners/Partners/Select | $136.15 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $140.81 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $140.82 | ↓ -99% |
| Cigna | Medicare | $140.82 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $140.82 | ↓ -99% |
| Occunet | Commercial | $162.99 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $224.21 | ↓ -99% |
| Cigna | Commercial | $435.20 | ↓ -98% |
| UPMC Health Plan | CHIP | $494.55 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $530.86 | ↓ -98% |
| United Healthcare | Commercial | $532.70 | ↓ -98% |
| UPMC Health Plan | Commercial | $635.85 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $777.15 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $777.15 | ↓ -97% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,059.75 | ↓ -96% |
| Humana | Commercial | $1,130.40 | ↓ -96% |
| National Provider Network | PPO | $1,243.44 | ↓ -95% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | 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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Icatibant injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $23,826.60 | $132.97 – $1,058.40 |
| UPMC Bedford | Everett | $25,465.20 | $47.04 – $1,271.70 |
| UPMC Carlisle | Carlisle | $1,016.40 | $59.32 – $368.05 |
| UPMC Community Osteopathic | Harrisburg | $1,016.40 | $86.60 – $368.05 |
| UPMC East | Monroeville | $25,465.20 | $130.74 – $1,130.40 |
| UPMC Hamot | Erie | $28,571.40 | $106.24 – $140.82 |
| UPMC Hanover | Hanover | $1,016.40 | $129.09 – $208.62 |
| UPMC Horizon-Greenville | Greenville | $1,130.40 | $116.74 – $244.68 |