Mayo repu protein electrophoresis urine at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$48.00
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.
$80.00
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.
$17.62 with UPMC Work Partners vs $70.40 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $17.62 | ↓ -63% |
| Aetna of PA | Medicare | $17.83 | ↓ -63% |
| Occunet | Commercial | $17.83 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $17.83 | ↓ -63% |
| Humana | Medicare | $17.83 | ↓ -63% |
| United Healthcare | Medicare | $17.83 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $18.58 | ↓ -61% |
| UPMC Health Plan | EPO Partners/Partners/Select | $18.62 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.25 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.26 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $19.26 | ↓ -60% |
| Cigna | Medicare | $19.26 | ↓ -60% |
| UPMC Health Plan | Managed Medicaid | $21.93 | ↓ -54% |
| Aetna | Medicaid | $22.53 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.54 | ↓ -53% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.93 | ↓ -52% |
| United Healthcare | Commercial | $24.92 | ↓ -48% |
| PA Health & Wellness | PA Medicaid HMO | $33.98 | ↓ -29% |
| UPMC Health Plan | Commercial | $37.55 | ↓ -22% |
| Cigna | Commercial | $46.31 | ↓ -4% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $48.71 | ↑ +1% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $60.00 | ↑ +25% |
| UPMC Health Plan | CHIP | $60.93 | ↑ +27% |
| Humana | Commercial | $64.00 | ↑ +33% |
| National Provider Network | PPO | $70.40 | ↑ +47% |
Visitor-reported prices
Comments
Mayo repu protein electrophoresis urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $137.40 | $17.62 – $183.20 |
| UPMC Bedford | Everett | $108.00 | $6.43 – $162.00 |
| UPMC Carlisle | Carlisle | $91.20 | $15.91 – $129.20 |
| UPMC Cole | Coudersport | $86.40 | $11.59 – $115.20 |
| UPMC Community Osteopathic | Harrisburg | $91.20 | $17.65 – $129.20 |
| UPMC East | Monroeville | $369.60 | $16.76 – $492.80 |
| UPMC Hamot | Erie | $198.00 | $17.62 – $47.86 |
| UPMC Northwest | Seneca | $241.20 | $16.17 – $22.93 |