Observation per hour at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$42.00
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.
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What you pay up front if you don't use insurance.
$70.00
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.
$21.56 with Cigna vs $3,561.51 with UPMC Health Plan — 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 |
|---|---|---|---|
| Cigna | Commercial | $21.56 | ↓ -49% |
| UPMC Health Plan | CHIP | $26.56 | ↓ -37% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $28.07 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $35.00 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $52.50 | ↑ +25% |
| Humana | Commercial | $56.00 | ↑ +33% |
| Aetna of PA | Medicare | $60.88 | ↑ +45% |
| National Provider Network | PPO | $61.60 | ↑ +47% |
| UPMC Health Plan | Managed Medicaid | $1,010.00 | ↑ +2305% |
| Aetna | Medicaid | $1,150.00 | ↑ +2638% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,250.00 | ↑ +2876% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,418.32 | ↑ +3277% |
| PA Health & Wellness | PA Medicaid HMO | $2,137.42 | ↑ +4989% |
| UPMC Health Plan | Managed Medicare | $2,188.62 | ↑ +5111% |
| Geisinger | Medicaid/CHIP | $2,207.16 | ↑ +5155% |
| UPMC Health Plan | EPO Partners/Partners/Select | $3,163.07 | ↑ +7431% |
| UPMC Health Plan | Commercial | $3,561.51 | ↑ +8380% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Observation per hour at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $86.40 | $27.00 – $2,137.43 |
| UPMC Bedford | Everett | $580.20 | $24.50 – $2,207.16 |
| UPMC Carlisle | Carlisle | $111.60 | $25.48 – $2,137.42 |
| UPMC Cole | Coudersport | $370.80 | $25.50 – $2,015.60 |
| UPMC Community Osteopathic | Harrisburg | $111.60 | $45.01 – $3,000.00 |
| UPMC East | Monroeville | $516.00 | $27.85 – $2,207.16 |
| UPMC Northwest | Seneca | $443.40 | $1,074.19 – $1,171.85 |
| UPMC Horizon-Greenville | Greenville | $355.80 | $31.88 – $1,074.19 |