healthcosts.net
Sinus CT scan (with contrast) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$739.20
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.
$1,232.00
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.
$92.00 with United Healthcare Community Plan for Families vs $1,084.16 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $92.00 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $147.40 | ↓ -80% |
| Aetna of PA | Medicare | $147.87 | ↓ -80% |
| Aetna | Medicaid | $151.42 | ↓ -80% |
| Humana | Medicare | $169.72 | ↓ -77% |
| United Healthcare | Medicare | $169.72 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $174.21 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $176.88 | ↓ -76% |
| UPMC Health Plan | EPO Partners/Partners/Select | $177.22 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.28 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -75% |
| Cigna | Medicare | $183.30 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $186.25 | ↓ -75% |
| Occunet | Commercial | $212.15 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $228.36 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $327.00 | ↓ -56% |
| UPMC Health Plan | Commercial | $620.20 | ↓ -16% |
| UPMC Work Partners | Workers Comp | $657.55 | ↓ -11% |
| Cigna | Commercial | $670.35 | ↓ -9% |
| United Healthcare | Commercial | $763.00 | ↑ +3% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $924.00 | ↑ +25% |
| Humana | Commercial | $985.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $1,006.21 | ↑ +36% |
| National Provider Network | PPO | $1,084.16 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $2,917.20 | $147.40 – $3,889.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,654.40 | $147.40 – $3,760.40 |
| UPMC Hamot | Erie | $1,612.80 | $129.91 – $1,881.60 |
| UPMC Carlisle | Carlisle | $1,294.80 | $104.80 – $1,834.30 |
| UPMC Altoona | Altoona | $1,204.80 | $80.00 – $1,606.40 |
| UPMC Bedford | Everett | $847.80 | $61.23 – $1,271.70 |
| UPMC Cole | Coudersport | $1,350.00 | $140.70 – $1,800.00 |
| UPMC Community Osteopathic | Harrisburg | $1,294.80 | $104.80 – $1,834.30 |