Inj dx for sinogram at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$360.60
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.
$601.00
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.
$33.56 with Aetna of PA vs $581.00 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $33.56 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $38.50 | ↓ -89% |
| Aetna | Medicaid | $39.55 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $40.25 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.50 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $48.65 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $59.65 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $92.63 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $132.41 | ↓ -63% |
| Cigna | Commercial | $185.11 | ↓ -49% |
| UPMC Health Plan | Commercial | $270.45 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $300.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $418.04 | ↑ +16% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $450.75 | ↑ +25% |
| Humana | Commercial | $480.80 | ↑ +33% |
| National Provider Network | PPO | $528.88 | ↑ +47% |
| United Healthcare | Commercial | $581.00 | ↑ +61% |
Visitor-reported prices
Comments
Inj dx for sinogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $640.20 | $35.00 – $853.60 |
| UPMC Carlisle | Carlisle | $2,304.60 | $44.45 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $45.85 – $3,264.85 |
| UPMC East | Monroeville | $543.60 | $38.50 – $724.80 |
| UPMC Hamot | Erie | $562.20 | $38.50 – $130.12 |
| UPMC Hanover | Hanover | $2,304.60 | $44.45 – $96.94 |
| UPMC Horizon-Greenville | Greenville | $360.60 | $36.75 – $253.13 |
| UPMC Kane | Kane | $606.60 | $38.50 – $598.02 |