Ob Ultrasound nuchal meas add-on at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$304.20
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.
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What you pay up front if you don't use insurance.
$507.00
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.
$30.35 with United Healthcare Community Plan for Families vs $446.16 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 | $30.35 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $62.40 | ↓ -79% |
| Aetna of PA | Medicare | $67.14 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $68.17 | ↓ -78% |
| Aetna | Medicaid | $70.03 | ↓ -77% |
| UPMC Health Plan | Commercial | $72.87 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $80.57 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $86.13 | ↓ -72% |
| PA Health & Wellness | PA Medicaid HMO | $105.61 | ↓ -65% |
| UPMC Health Plan | CHIP | $118.22 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $123.19 | ↓ -60% |
| Cigna | Commercial | $156.16 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicare | $253.50 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $380.25 | ↑ +25% |
| Humana | Commercial | $405.60 | ↑ +33% |
| United Healthcare | Commercial | $432.00 | ↑ +42% |
| National Provider Network | PPO | $446.16 | ↑ +47% |
Visitor-reported prices
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Ob Ultrasound nuchal meas add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $175.20 | $34.57 – $248.20 |
| UPMC Community Osteopathic | Harrisburg | $175.20 | $34.57 – $269.61 |
| UPMC Hamot | Erie | $430.80 | $59.03 – $183.38 |
| UPMC Hanover | Hanover | $175.20 | $34.57 – $128.93 |
| UPMC Lititz | Lititz | $175.20 | $34.57 – $128.93 |
| UPMC Magee | Pittsburgh | $197.40 | $61.91 – $123.19 |
| UPMC Memorial | York | $175.20 | $34.57 – $218.88 |
| UPMC Somerset | Somerset | $175.20 | $30.35 – $123.19 |