Psychotherapy patient individual therapy 30 minutes at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$122.40
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.
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What you pay up front if you don't use insurance.
$204.00
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.
$28.60 with UPMC Health Plan vs $179.52 with National Provider Network — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $28.60 | ↓ -77% |
| Aetna | Medicaid | $29.38 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.80 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $36.14 | ↓ -70% |
| PA Health & Wellness | PA Medicaid HMO | $44.31 | ↓ -64% |
| Aetna of PA | Medicare | $56.44 | ↓ -54% |
| Cigna | Commercial | $62.83 | ↓ -49% |
| UPMC Health Plan | CHIP | $71.40 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $87.38 | ↓ -29% |
| UPMC Health Plan | Commercial | $91.80 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $102.00 | ↓ -17% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $121.06 | ↓ -1% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $153.00 | ↑ +25% |
| Humana | Commercial | $163.20 | ↑ +33% |
| National Provider Network | PPO | $179.52 | ↑ +47% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Psychotherapy patient individual therapy 30 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $89.40 | $28.60 – $160.84 |
| UPMC Presbyterian | Pittsburgh | $175.20 | $28.60 – $168.50 |
| UPMC Wellsboro | Wellsboro | $128.00 | $28.60 – $87.38 |
| UPMC Western Psychiatric | Pittsburgh | $168.00 | $117.68 – $168.50 |
| WellSpan Chambersburg Hospital | Chambersburg | $363.20 | $32.50 – $738.95 |