Rf abltj nrv nrvtg si jt at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
not published by hospital
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.
not published by hospital
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.
$276.93 with Highmark BCBS of PA vs $2,961.00 with United Healthcare — 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 | $276.93 | — |
| UPMC Work Partners | Workers Comp | $587.87 | — |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,260.96 | — |
| UPMC Health Plan | CHIP | $1,643.21 | — |
| Aetna of PA | Medicare | $1,861.73 | — |
| Humana | Medicare | $1,861.73 | — |
| United Healthcare | Medicare | $1,861.73 | — |
| UPMC Health Plan | Managed Medicare | $1,940.30 | — |
| UPMC Health Plan | EPO Partners/Partners/Select | $1,944.02 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $2,010.48 | — |
| Cigna | Medicare | $2,010.67 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,010.67 | — |
| AmeriHealth Caritas | Medicare | $2,010.67 | — |
| Cigna | Commercial | $2,109.45 | — |
| Occunet | Commercial | $2,513.34 | — |
| United Healthcare | Commercial | $2,961.00 | — |
Visitor-reported prices
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Rf abltj nrv nrvtg si jt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,661.00 | $615.21 – $8,019.75 |
| UPMC Cole | Coudersport | $747.00 | $194.15 – $996.00 |
| UPMC Community Osteopathic | Harrisburg | $5,661.00 | $615.21 – $8,019.75 |
| UPMC East | Monroeville | $3,989.40 | $274.72 – $5,319.20 |
| UPMC Northwest | Seneca | $3,989.40 | $587.87 – $2,010.67 |
| UPMC Hanover | Hanover | $5,661.00 | $615.21 – $2,984.77 |
| UPMC Horizon-Greenville | Greenville | $3,989.40 | $529.41 – $2,010.67 |
| UPMC Lititz | Lititz | $5,661.00 | $615.21 – $3,000.90 |