Inj thrc fascial pln blk uni w/wo image at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$120.00
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.
?
What you pay up front if you don't use insurance.
$200.00
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.
$54.46 with Aetna of PA vs $581.00 with United Healthcare — 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $54.46 | ↓ -55% |
| Cigna | Commercial | $61.60 | ↓ -49% |
| UPMC Health Plan | CHIP | $70.00 | ↓ -42% |
| UPMC Health Plan | Commercial | $90.00 | ↓ -25% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $99.00 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $100.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $110.00 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $110.00 | ↓ -8% |
| UPMC Work Partners | Workers Comp | $110.98 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $150.00 | ↑ +25% |
| Humana | Commercial | $160.00 | ↑ +33% |
| National Provider Network | PPO | $176.00 | ↑ +47% |
| United Healthcare | Commercial | $581.00 | ↑ +384% |
Visitor-reported prices
Comments
Inj thrc fascial pln blk uni w/wo image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $120.00 | $102.94 – $110.98 |
| UPMC Mercy | Pittsburgh | $120.00 | $40.39 – $122.02 |
| UPMC Passavant-McCandless | Pittsburgh | $120.00 | $110.98 – $129.05 |
| UPMC Presbyterian | Pittsburgh | $160.20 | $40.78 – $141.88 |
| UPMC St. Margaret | Pittsburgh | $120.00 | $110.98 – $117.42 |
| UPMC Williamsport | Williamsport | $118.80 | $110.98 – $122.60 |
| WellSpan Chambersburg Hospital | Chambersburg | $1,263.20 | $46.95 – $1,136.88 |
| Uniontown Hospital | Uniontown | $818.00 | $60.54 – $225.40 |