Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$239.40
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.
?
What you pay up front if you don't use insurance.
$399.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.75 with Highmark BCBS of PA vs $351.12 with National Provider Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $13.75 | ↓ -94% |
| Aetna of PA | Medicare | $15.95 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $20.95 | ↓ -91% |
| Aetna | Medicaid | $21.53 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $21.91 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.77 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $25.37 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $26.48 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $32.47 | ↓ -86% |
| UPMC Health Plan | CHIP | $84.70 | ↓ -65% |
| Occunet | Commercial | $85.00 | ↓ -64% |
| Cigna | Commercial | $145.55 | ↓ -39% |
| United Healthcare | Commercial | $172.00 | ↓ -28% |
| UPMC Health Plan | Commercial | $179.55 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $199.50 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $299.25 | ↑ +25% |
| Humana | Commercial | $319.20 | ↑ +33% |
| National Provider Network | PPO | $351.12 | ↑ +47% |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $162.60 | $13.51 – $216.80 |
| UPMC Bedford | Everett | $123.60 | $20.00 – $185.40 |
| UPMC Carlisle | Carlisle | $114.60 | $24.19 – $387.00 |
| UPMC Community Osteopathic | Harrisburg | $114.60 | $24.19 – $162.35 |
| UPMC East | Monroeville | $307.20 | $13.64 – $409.60 |
| UPMC Hamot | Erie | $262.20 | $13.51 – $94.85 |
| UPMC Northwest | Seneca | $274.80 | $20.95 – $35.07 |
| UPMC Hanover | Hanover | $114.60 | $24.19 – $193.00 |