Stent iliac/open/perc/ea ad/ipsila 37223 at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$3,688.80
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.
$6,148.00
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.
$207.57 with United Healthcare Community Plan for Families vs $8,744.12 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $207.57 | ↓ -94% |
| Aetna of PA | Medicare | $1,844.40 | ↓ -50% |
| Cigna | Commercial | $1,893.58 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,074.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $3,381.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $3,381.40 | ↓ -8% |
| UPMC Work Partners | Workers Comp | $3,788.30 | ↑ +3% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,611.00 | ↑ +25% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4,696.09 | ↑ +27% |
| Humana | Commercial | $4,918.40 | ↑ +33% |
| UPMC Health Plan | Commercial | $5,389.66 | ↑ +46% |
| National Provider Network | PPO | $5,410.24 | ↑ +47% |
| United Healthcare | Commercial | $6,270.00 | ↑ +70% |
| UPMC Health Plan | CHIP | $8,744.12 | ↑ +137% |
Visitor-reported prices
Comments
Stent iliac/open/perc/ea ad/ipsila 37223 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $17,351.40 | $3,788.30 – $23,135.20 |
| UPMC Carlisle | Carlisle | $8,640.60 | $236.46 – $12,240.85 |
| UPMC Community Osteopathic | Harrisburg | $8,640.60 | $236.46 – $19,048.49 |
| UPMC East | Monroeville | $23,821.80 | $3,788.30 – $31,762.40 |
| UPMC Hamot | Erie | $10,869.00 | $198.55 – $4,614.66 |
| UPMC Northwest | Seneca | $16,307.40 | $3,788.30 – $11,976.81 |
| UPMC Hanover | Hanover | $8,640.60 | $236.46 – $8,744.12 |
| UPMC Lititz | Lititz | $8,640.60 | $236.46 – $8,744.12 |