Mopath procedure level 5 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$2,073.60
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.
$3,456.00
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.
$192.80 with United Healthcare Community Plan for Families vs $2,179.76 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $192.80 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $271.62 | ↓ -87% |
| United Healthcare | Medicare | $274.83 | ↓ -87% |
| United Healthcare | Commercial | $274.83 | ↓ -87% |
| Aetna of PA | Medicare | $274.83 | ↓ -87% |
| Humana | Medicare | $274.83 | ↓ -87% |
| Occunet | Commercial | $274.83 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $274.83 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $286.43 | ↓ -86% |
| UPMC Health Plan | EPO Partners/Partners/Select | $286.98 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $296.79 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $296.82 | ↓ -86% |
| Cigna | Medicare | $296.82 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $296.82 | ↓ -86% |
| UPMC Health Plan | Commercial | $392.42 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $482.17 | ↓ -77% |
| UPMC Health Plan | CHIP | $636.66 | ↓ -69% |
| Cigna | Commercial | $713.71 | ↓ -66% |
| PA Health & Wellness | PA Medicaid HMO | $1,362.35 | ↓ -34% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,857.75 | ↓ -10% |
| Humana | Commercial | $1,981.60 | ↓ -4% |
| National Provider Network | PPO | $2,179.76 | ↑ +5% |
Visitor-reported prices
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Mopath procedure level 5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,556.60 | $159.00 – $473.81 |
| UPMC Bedford | Everett | $2,934.00 | $99.16 – $3,110.40 |
| UPMC Cole | Coudersport | $1,691.40 | $53.00 – $2,255.20 |
| UPMC East | Monroeville | $3,109.80 | $175.14 – $844.80 |
| UPMC Hamot | Erie | $8,296.20 | $271.62 – $473.81 |
| UPMC Northwest | Seneca | $3,109.80 | $176.77 – $296.82 |
| UPMC Horizon-Greenville | Greenville | $8,296.20 | $177.33 – $515.72 |
| UPMC Lititz | Lititz | $1,008.00 | $219.62 – $636.66 |