Stent bili rx wallflx 10x80 uncvr at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$10,104.00
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.
$16,840.00
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.
$142.20 with Occunet vs $5,605.21 with UPMC Health Plan — 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 |
|---|---|---|---|
| Occunet | Commercial | $142.20 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $156.42 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $156.42 | ↓ -98% |
| United Healthcare | Commercial | $165.43 | ↓ -98% |
| UPMC Health Plan | Commercial | $213.30 | ↓ -98% |
| Cigna | Commercial | $223.73 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $237.00 | ↓ -98% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $355.50 | ↓ -96% |
| Humana | Commercial | $379.20 | ↓ -96% |
| National Provider Network | PPO | $417.12 | ↓ -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 | $1,167.36 | ↓ -88% |
| Aetna of PA | Medicare | $1,431.75 | ↓ -86% |
| UPMC Health Plan | CHIP | $5,605.21 | ↓ -45% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| UPMC Health Plan | Managed Medicaid | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
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Stent bili rx wallflx 10x80 uncvr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $33,391.20 | $260.30 – $5,605.21 |
| UPMC Bedford | Everett | $1,921.20 | $608.38 – $5,605.21 |
| UPMC Cole | Coudersport | $1,333.20 | $422.18 – $1,777.60 |
| UPMC Community Osteopathic | Harrisburg | $6,966.60 | $596.80 – $6,038.19 |
| UPMC East | Monroeville | $9,372.60 | $404.89 – $5,605.21 |
| UPMC Hamot | Erie | $36,111.00 | $1,147.12 – $1,147.12 |
| UPMC Northwest | Seneca | $3,802.20 | $2,977.22 – $6,782.80 |
| UPMC Horizon-Greenville | Greenville | $3,408.60 | $2,923.53 – $5,605.21 |