Ob Ultrasound nuchal meas 1 gest at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$242.40
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.
$404.00
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.
$58.40 with United Healthcare Community Plan for Families vs $432.00 with United Healthcare — 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 | $58.40 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $102.48 | ↓ -58% |
| Aetna of PA | Medicare | $104.23 | ↓ -57% |
| Aetna | Medicaid | $105.27 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $120.08 | ↓ -50% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $121.12 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $129.48 | ↓ -47% |
| UPMC Health Plan | Commercial | $156.22 | ↓ -36% |
| PA Health & Wellness | PA Medicaid HMO | $158.76 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $185.33 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $202.00 | ↓ -17% |
| Cigna | Commercial | $251.90 | ↑ +4% |
| UPMC Health Plan | CHIP | $253.46 | ↑ +5% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $303.00 | ↑ +25% |
| Humana | Commercial | $323.20 | ↑ +33% |
| National Provider Network | PPO | $355.52 | ↑ +47% |
| United Healthcare | Commercial | $432.00 | ↑ +78% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ob Ultrasound nuchal meas 1 gest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $717.60 | $36.58 – $1,076.40 |
| UPMC Carlisle | Carlisle | $394.20 | $66.52 – $558.45 |
| UPMC Cole | Coudersport | $235.80 | $97.82 – $314.40 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $66.52 – $558.45 |
| UPMC Hamot | Erie | $657.60 | $102.48 – $185.33 |
| UPMC Hanover | Hanover | $394.20 | $66.52 – $193.95 |
| UPMC Horizon-Greenville | Greenville | $997.80 | $70.60 – $190.24 |
| UPMC Lititz | Lititz | $394.20 | $66.52 – $193.95 |