Radphm lcl tmr plnr bdy two day img at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$2,109.00
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.
$3,515.00
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.
$236.90 with Highmark BCBS of PA vs $3,253.51 with Cigna — 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 | $236.90 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $362.37 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $394.09 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $401.79 | ↓ -81% |
| Aetna | Medicaid | $404.83 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $465.77 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $497.95 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $610.55 | ↓ -71% |
| UPMC Health Plan | Commercial | $747.19 | ↓ -65% |
| UPMC Health Plan | CHIP | $1,212.23 | ↓ -43% |
| Humana | Medicare | $1,244.62 | ↓ -41% |
| United Healthcare | Medicare | $1,244.62 | ↓ -41% |
| Aetna of PA | Medicare | $1,244.62 | ↓ -41% |
| United Healthcare | Commercial | $1,293.52 | ↓ -39% |
| UPMC Health Plan | Managed Medicare | $1,297.14 | ↓ -38% |
| UPMC Health Plan | EPO Partners/Partners/Select | $1,299.63 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,344.07 | ↓ -36% |
| Cigna | Medicare | $1,344.19 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $1,344.19 | ↓ -36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,344.19 | ↓ -36% |
| Occunet | Commercial | $1,555.78 | ↓ -26% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,636.25 | ↑ +25% |
| Humana | Commercial | $2,812.00 | ↑ +33% |
| National Provider Network | PPO | $3,093.20 | ↑ +47% |
| Cigna | Commercial | $3,253.51 | ↑ +54% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Radphm lcl tmr plnr bdy two day img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,796.00 | $232.80 – $3,728.00 |
| UPMC Carlisle | Carlisle | $4,242.60 | $412.78 – $6,010.35 |
| UPMC Community Osteopathic | Harrisburg | $4,242.60 | $412.78 – $6,010.35 |
| UPMC Hamot | Erie | $2,486.40 | $232.80 – $1,888.73 |
| UPMC Hanover | Hanover | $4,242.60 | $412.78 – $1,995.41 |
| UPMC Kane | Kane | $1,603.80 | $394.09 – $2,271.73 |
| UPMC Lititz | Lititz | $4,242.60 | $412.78 – $2,006.18 |
| UPMC Magee | Pittsburgh | $2,658.60 | $235.01 – $1,344.19 |