Methacholine chloride 0.0625 mg/ml nebulization soln at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$5.80
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.
$7.25
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.
$0.89 with Highmark BCBS of PA vs $6.38 with National Provider Network — 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 | $0.89 | ↓ -85% |
| UPMC Health Plan | CHIP | $1.00 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $1.11 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $1.75 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.75 | ↓ -70% |
| PA Health & Wellness | PA Medicaid HMO | $1.75 | ↓ -70% |
| Aetna of PA | Medicare | $1.77 | ↓ -69% |
| Cigna | Commercial | $2.23 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $2.72 | ↓ -53% |
| United Healthcare | Commercial | $2.73 | ↓ -53% |
| UPMC Health Plan | Commercial | $3.26 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $3.62 | ↓ -38% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $5.44 | ↓ -6% |
| Humana | Commercial | $5.80 | ↑ +0% |
| National Provider Network | PPO | $6.38 | ↑ +10% |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
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Methacholine chloride 0.0625 mg/ml nebulization soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $230.40 | $0.84 – $4.83 |
| UPMC Cole | Coudersport | $88.20 | $0.95 – $117.60 |
| UPMC Hamot | Erie | $261.00 | $0.87 – $2.34 |
| UPMC Northwest | Seneca | $255.60 | $1.11 – $2.27 |
| UPMC Horizon-Greenville | Greenville | $235.20 | $1.00 – $2.23 |
| UPMC Magee | Pittsburgh | $627.00 | $0.88 – $1.75 |
| UPMC Muncy | Muncy | $463.20 | $1.75 – $1.93 |
| UPMC Passavant-McCandless | Pittsburgh | $255.60 | $0.88 – $1.75 |