Supp non-insulin inf cath/wk at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$18.00
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.
$30.00
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.
$9.24 with Cigna vs $126.67 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 |
|---|---|---|---|
| Cigna | Commercial | $9.24 | ↓ -49% |
| United Healthcare | Commercial | $11.31 | ↓ -37% |
| UPMC Health Plan | Commercial | $13.50 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.00 | ↓ -17% |
| Aetna of PA | Medicare | $16.32 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $16.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $16.50 | ↓ -8% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $20.84 | ↑ +16% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $22.50 | ↑ +25% |
| Humana | Commercial | $24.00 | ↑ +33% |
| National Provider Network | PPO | $26.40 | ↑ +47% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $32.67 | ↑ +82% |
| UPMC Work Partners | Workers Comp | $52.16 | ↑ +190% |
| UPMC Health Plan | CHIP | $126.67 | ↑ +604% |
Visitor-reported prices
Comments
Supp non-insulin inf cath/wk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14.40 | $12.00 – $126.67 |
| UPMC East | Monroeville | $12.60 | $5.25 – $126.67 |
| UPMC Hamot | Erie | $19.20 | $32.10 – $52.16 |
| UPMC Northwest | Seneca | $15.00 | $52.16 – $153.28 |
| UPMC Mercy | Pittsburgh | $17.40 | $32.10 – $100.03 |
| UPMC Muncy | Muncy | $55.20 | $23.19 – $55.80 |
| UPMC Presbyterian | Pittsburgh | $24.00 | $21.74 – $204.81 |
| UPMC Wellsboro | Wellsboro | $66.60 | $23.19 – $52.16 |