In-111 oxyquinolin per 0.5 mci at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$1,980.60
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.
$3,301.00
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.
$551.61 with Highmark BCBS of PA vs $2,991.97 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $551.61 | ↓ -72% |
| United Healthcare | Medicare | $772.64 | ↓ -61% |
| Humana | Medicare | $772.64 | ↓ -61% |
| Aetna of PA | Medicare | $772.64 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $805.25 | ↓ -59% |
| UPMC Health Plan | EPO Partners/Partners/Select | $806.79 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $834.37 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $834.45 | ↓ -58% |
| Cigna | Medicare | $834.45 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $834.45 | ↓ -58% |
| Occunet | Commercial | $965.80 | ↓ -51% |
| Cigna | Commercial | $1,016.71 | ↓ -49% |
| United Healthcare | Commercial | $1,244.48 | ↓ -37% |
| UPMC Health Plan | Commercial | $1,485.45 | ↓ -25% |
| PA Health & Wellness | PA Medicaid HMO | $1,815.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,815.55 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,475.75 | ↑ +25% |
| Humana | Commercial | $2,640.80 | ↑ +33% |
| National Provider Network | PPO | $2,904.88 | ↑ +47% |
| UPMC Health Plan | CHIP | $2,991.97 | ↑ +51% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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In-111 oxyquinolin per 0.5 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,713.00 | $542.04 – $6,284.00 |
| UPMC Bedford | Everett | $2,703.60 | $278.77 – $4,055.40 |
| UPMC Carlisle | Carlisle | $6,806.40 | $424.95 – $9,642.40 |
| UPMC Community Osteopathic | Harrisburg | $6,806.40 | $764.91 – $9,642.40 |
| UPMC East | Monroeville | $3,093.00 | $547.21 – $4,124.00 |
| UPMC Hamot | Erie | $5,980.20 | $542.04 – $1,823.89 |
| UPMC Hanover | Hanover | $6,806.40 | $764.91 – $2,991.97 |
| UPMC Horizon-Greenville | Greenville | $1,408.20 | $691.74 – $1,381.44 |