Obstetric panel inc HIV tstg at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$144.60
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.
$241.00
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.
$72.51 with Highmark BCBS of PA vs $600.15 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $72.51 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $73.99 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $74.86 | ↓ -48% |
| United Healthcare | Medicare | $74.86 | ↓ -48% |
| Aetna of PA | Medicare | $74.86 | ↓ -48% |
| Humana | Medicare | $74.86 | ↓ -48% |
| Occunet | Commercial | $74.86 | ↓ -48% |
| UPMC Health Plan | Managed Medicare | $78.02 | ↓ -46% |
| UPMC Health Plan | EPO Partners/Partners/Select | $78.17 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $80.84 | ↓ -44% |
| AmeriHealth Caritas | Medicare | $80.85 | ↓ -44% |
| Cigna | Medicare | $80.85 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $80.85 | ↓ -44% |
| UPMC Health Plan | Managed Medicaid | $89.74 | ↓ -38% |
| Aetna | Medicaid | $92.19 | ↓ -36% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $92.21 | ↓ -36% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $93.82 | ↓ -35% |
| United Healthcare | Commercial | $101.97 | ↓ -29% |
| PA Health & Wellness | PA Medicaid HMO | $139.03 | ↓ -4% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $180.75 | ↑ +25% |
| Humana | Commercial | $192.80 | ↑ +33% |
| Cigna | Commercial | $194.40 | ↑ +34% |
| National Provider Network | PPO | $212.08 | ↑ +47% |
| UPMC Health Plan | Commercial | $369.92 | ↑ +156% |
| UPMC Health Plan | CHIP | $600.15 | ↑ +315% |
Visitor-reported prices
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Obstetric panel inc HIV tstg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $351.60 | $71.25 – $468.80 |
| UPMC Bedford | Everett | $446.40 | $27.01 – $669.60 |
| UPMC Community Osteopathic | Harrisburg | $486.60 | $74.11 – $689.35 |
| UPMC East | Monroeville | $307.20 | $71.93 – $409.60 |
| UPMC Hamot | Erie | $394.80 | $71.25 – $113.39 |
| UPMC Northwest | Seneca | $471.00 | $67.89 – $93.82 |
| UPMC Horizon-Greenville | Greenville | $444.60 | $67.02 – $115.20 |
| UPMC Magee | Pittsburgh | $857.40 | $70.06 – $139.03 |