Rem interrog dev eval icpms at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$256.80
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.
?
What you pay up front if you don't use insurance.
$428.00
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.
$23.74 with United Healthcare Community Plan for Families vs $664.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $23.74 | ↓ -91% |
| United Healthcare | Medicare | $35.55 | ↓ -86% |
| Aetna of PA | Medicare | $35.55 | ↓ -86% |
| Humana | Medicare | $35.55 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $37.05 | ↓ -86% |
| UPMC Health Plan | EPO Partners/Partners/Select | $37.12 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $38.39 | ↓ -85% |
| Cigna | Medicare | $38.39 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.39 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $38.39 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $39.48 | ↓ -85% |
| Occunet | Commercial | $44.44 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $47.69 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $49.43 | ↓ -81% |
| Aetna | Medicaid | $50.78 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.43 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $62.46 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $76.59 | ↓ -70% |
| Cigna | Commercial | $131.82 | ↓ -49% |
| UPMC Health Plan | CHIP | $149.80 | ↓ -42% |
| UPMC Health Plan | Commercial | $192.60 | ↓ -25% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $321.00 | ↑ +25% |
| Humana | Commercial | $342.40 | ↑ +33% |
| National Provider Network | PPO | $376.64 | ↑ +47% |
| United Healthcare | Commercial | $664.00 | ↑ +159% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rem interrog dev eval icpms at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $257.40 | $39.48 – $67.77 |
| UPMC Magee | Pittsburgh | $179.40 | $33.27 – $76.59 |
| UPMC Passavant-McCandless | Pittsburgh | $190.20 | $33.04 – $51.68 |
| UPMC Presbyterian | Pittsburgh | $144.00 | $24.77 – $69.96 |
| UPMC St. Margaret | Pittsburgh | $284.40 | $30.69 – $70.16 |
| UPMC Williamsport | Williamsport | $103.20 | $26.42 – $49.43 |
| Uniontown Hospital | Uniontown | $51.00 | $18.27 – $75.13 |