healthcosts.net
Knee MRI (with and without contrast) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$3,802.20
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.
?
What you pay up front if you don't use insurance.
$6,337.00
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.
$340.48 with Aetna of PA vs $5,576.56 with National Provider Network — 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 | $340.48 | ↓ -91% |
| Humana | Medicare | $340.48 | ↓ -91% |
| United Healthcare | Medicare | $340.48 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $354.85 | ↓ -91% |
| UPMC Health Plan | EPO Partners/Partners/Select | $355.53 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -90% |
| Cigna | Medicare | $367.72 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -90% |
| Occunet | Commercial | $425.60 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $543.29 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,016.53 | ↓ -73% |
| Cigna | Commercial | $1,122.38 | ↓ -70% |
| UPMC Health Plan | Commercial | $1,602.42 | ↓ -58% |
| United Healthcare | Commercial | $1,614.00 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $1,992.24 | ↓ -48% |
| UPMC Health Plan | CHIP | $2,599.74 | ↓ -32% |
| Geisinger | Medicaid/CHIP | $3,485.35 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $3,485.35 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,752.75 | ↑ +25% |
| Humana | Commercial | $5,069.60 | ↑ +33% |
| National Provider Network | PPO | $5,576.56 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,415.00 | $264.38 – $2,817.50 |
| UPMC Carlisle | Carlisle | $2,713.80 | $618.88 – $3,844.55 |
| UPMC Bedford | Everett | $2,563.20 | $122.85 – $3,844.80 |
| UPMC Altoona | Altoona | $2,604.00 | $425.00 – $3,472.00 |
| UPMC Cole | Coudersport | $1,857.00 | $468.12 – $2,476.00 |
| UPMC Community Osteopathic | Harrisburg | $2,713.80 | $618.88 – $4,391.77 |