Plcmt dlyd xtn pros 1st vsl at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$6,481.20
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.
?
What you pay up front if you don't use insurance.
$10,802.00
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.
$531.56 with Highmark BCBS of PA vs $9,505.76 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 | $531.56 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $762.73 | ↓ -88% |
| Aetna of PA | Medicare | $845.05 | ↓ -87% |
| United Healthcare | Commercial | $882.00 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $1,059.28 | ↓ -84% |
| Cigna | Commercial | $3,327.02 | ↓ -49% |
| UPMC Health Plan | CHIP | $3,780.70 | ↓ -42% |
| UPMC Health Plan | Commercial | $4,860.90 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,401.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $5,941.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $5,941.10 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $8,101.50 | ↑ +25% |
| Humana | Commercial | $8,641.60 | ↑ +33% |
| National Provider Network | PPO | $9,505.76 | ↑ +47% |
Visitor-reported prices
Comments
Plcmt dlyd xtn pros 1st vsl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,843.40 | $522.34 – $3,791.20 |
| UPMC Carlisle | Carlisle | $9,316.20 | $868.84 – $13,197.95 |
| UPMC Community Osteopathic | Harrisburg | $9,316.20 | $868.84 – $13,197.95 |
| UPMC Hamot | Erie | $2,766.60 | $522.34 – $1,946.45 |
| UPMC Hanover | Hanover | $9,316.20 | $868.84 – $1,108.55 |
| UPMC Lititz | Lititz | $9,316.20 | $845.05 – $1,108.55 |
| UPMC Memorial | York | $9,316.20 | $425.73 – $1,108.55 |
| UPMC Passavant-McCandless | Pittsburgh | $6,775.20 | $527.32 – $1,231.72 |