healthcosts.net
Sinus CT scan (without contrast) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$616.20
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.
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What you pay up front if you don't use insurance.
$1,027.00
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.
$89.12 with United Healthcare Community Plan for Families vs $903.76 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $89.12 | ↓ -86% |
| Aetna of PA | Medicare | $101.38 | ↓ -84% |
| Humana | Medicare | $101.38 | ↓ -84% |
| United Healthcare | Medicare | $101.38 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $105.66 | ↓ -83% |
| UPMC Health Plan | EPO Partners/Partners/Select | $105.86 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -82% |
| Cigna | Medicare | $109.49 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -82% |
| Occunet | Commercial | $126.72 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $143.00 | ↓ -77% |
| Aetna | Medicaid | $146.90 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $169.01 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $180.69 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $221.55 | ↓ -64% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $276.44 | ↓ -55% |
| UPMC Health Plan | Commercial | $523.38 | ↓ -15% |
| UPMC Work Partners | Workers Comp | $556.42 | ↓ -10% |
| Cigna | Commercial | $670.35 | ↑ +9% |
| United Healthcare | Commercial | $763.00 | ↑ +24% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $770.25 | ↑ +25% |
| Humana | Commercial | $821.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $849.13 | ↑ +38% |
| National Provider Network | PPO | $903.76 | ↑ +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 (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,863.00 | $101.65 – $2,484.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,795.80 | $94.21 – $2,544.05 |
| UPMC Hamot | Erie | $1,464.60 | $98.61 – $1,708.70 |
| UPMC Carlisle | Carlisle | $796.80 | $100.71 – $1,128.80 |
| UPMC Altoona | Altoona | $1,017.00 | $77.50 – $1,356.00 |
| UPMC Bedford | Everett | $741.00 | $36.58 – $1,111.50 |
| UPMC Cole | Coudersport | $1,144.80 | $136.50 – $1,526.40 |
| UPMC Community Osteopathic | Harrisburg | $796.80 | $101.53 – $1,128.80 |