Surgical trays at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$393.60
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.
$656.00
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.
$13.42 with Aetna of PA vs $504.24 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $13.42 | ↓ -97% |
| UPMC Health Plan | CHIP | $57.40 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $83.84 | ↓ -79% |
| Cigna | Commercial | $176.48 | ↓ -55% |
| United Healthcare | Commercial | $216.02 | ↓ -45% |
| UPMC Health Plan | Commercial | $257.85 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicare | $286.50 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $315.15 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $315.15 | ↓ -20% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $429.75 | ↑ +9% |
| Humana | Commercial | $458.40 | ↑ +16% |
| National Provider Network | PPO | $504.24 | ↑ +28% |
Visitor-reported prices
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Surgical trays at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $80.40 | $57.40 – $107.20 |
| UPMC Horizon-Greenville | Greenville | $350.40 | $57.40 – $83.84 |
| UPMC Kane | Kane | $70.80 | $42.27 – $92.62 |
| UPMC Magee | Pittsburgh | $72.00 | $14.76 – $83.84 |
| UPMC Passavant-McCandless | Pittsburgh | $72.00 | $83.29 – $97.49 |
| UPMC Presbyterian | Pittsburgh | $674.40 | $83.84 – $97.49 |
| UPMC St. Margaret | Pittsburgh | $294.60 | $70.43 – $83.84 |
| UPMC Williamsport | Williamsport | $36.60 | $83.84 – $92.62 |