Sodium hyaluronate 20 mg/2 ml syringe at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$2,198.40
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.
$2,748.00
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.
$45.16 with UPMC Health Plan vs $2,418.24 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $45.16 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $71.52 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $71.52 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $71.52 | ↓ -97% |
| Aetna of PA | Medicare | $72.24 | ↓ -97% |
| UPMC Health Plan | CHIP | $84.82 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $274.41 | ↓ -88% |
| Cigna | Commercial | $846.38 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $1,032.42 | ↓ -53% |
| United Healthcare | Commercial | $1,036.00 | ↓ -53% |
| UPMC Health Plan | Commercial | $1,236.60 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,374.00 | ↓ -38% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,061.00 | ↓ -6% |
| Humana | Commercial | $2,198.40 | ↑ +0% |
| National Provider Network | PPO | $2,418.24 | ↑ +10% |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Sodium hyaluronate 20 mg/2 ml syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $197.40 | $71.52 – $263.20 |
| UPMC Horizon-Greenville | Greenville | $2,100.80 | $45.16 – $687.24 |
| UPMC Mercy | Pittsburgh | $2,100.80 | $45.16 – $269.66 |
| UPMC Presbyterian | Pittsburgh | $2,860.80 | $45.16 – $272.22 |
| UPMC St. Margaret | Pittsburgh | $1,648.80 | $45.16 – $272.22 |
| UPMC Williamsport | Williamsport | $480.00 | $71.52 – $78.68 |
| Uniontown Hospital | Uniontown | $541.00 | $120.40 – $120.40 |