Placement occlusive device venous/arterial access site post procedure at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$109.80
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.
$183.00
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.
$47.86 with Aetna of PA vs $1,964.37 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $47.86 | ↓ -56% |
| Cigna | Commercial | $56.36 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicare | $91.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $100.65 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $100.65 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $137.25 | ↑ +25% |
| Humana | Commercial | $146.40 | ↑ +33% |
| National Provider Network | PPO | $161.04 | ↑ +47% |
| United Healthcare | Commercial | $581.00 | ↑ +429% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $892.40 | ↑ +713% |
| UPMC Health Plan | Commercial | $1,210.79 | ↑ +1003% |
| UPMC Health Plan | CHIP | $1,964.37 | ↑ +1689% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Placement occlusive device venous/arterial access site post procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $759.00 | $632.50 – $1,964.37 |
| UPMC Carlisle | Carlisle | $2,304.60 | $526.22 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $768.20 – $3,264.85 |
| UPMC Northwest | Seneca | $941.40 | $2,377.06 – $2,377.06 |
| UPMC Hanover | Hanover | $2,304.60 | $1,016.56 – $1,964.37 |
| UPMC Lititz | Lititz | $2,304.60 | $47.86 – $1,964.37 |
| UPMC Magee | Pittsburgh | $975.60 | $52.65 – $1,964.37 |
| UPMC McKeesport | Mckeesport | $921.60 | $52.65 – $1,964.37 |