Svc venogram s&i at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$1,475.40
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.
$2,459.00
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.
$25.88 with United Healthcare Community Plan for Families vs $3,669.54 with Cigna — 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 | $25.88 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $41.25 | ↓ -97% |
| Aetna | Medicaid | $42.38 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $48.75 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $52.12 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $63.91 | ↓ -96% |
| United Healthcare | Commercial | $313.00 | ↓ -79% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $615.36 | ↓ -58% |
| UPMC Health Plan | Commercial | $1,171.78 | ↓ -21% |
| UPMC Work Partners | Workers Comp | $1,215.01 | ↓ -18% |
| Humana | Medicare | $1,481.02 | ↑ +0% |
| United Healthcare | Medicare | $1,481.02 | ↑ +0% |
| Aetna of PA | Medicare | $1,481.02 | ↑ +0% |
| UPMC Health Plan | Managed Medicare | $1,543.52 | ↑ +5% |
| UPMC Health Plan | EPO Partners/Partners/Select | $1,546.48 | ↑ +5% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↑ +8% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↑ +8% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↑ +8% |
| Cigna | Medicare | $1,599.50 | ↑ +8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,844.25 | ↑ +25% |
| Occunet | Commercial | $1,851.28 | ↑ +25% |
| UPMC Health Plan | CHIP | $1,901.09 | ↑ +29% |
| Humana | Commercial | $1,967.20 | ↑ +33% |
| National Provider Network | PPO | $2,163.92 | ↑ +47% |
| Cigna | Commercial | $3,669.54 | ↑ +149% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Svc venogram s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,540.20 | $22.50 – $2,053.60 |
| UPMC Carlisle | Carlisle | $1,344.60 | $29.48 – $2,377.68 |
| UPMC Community Osteopathic | Harrisburg | $1,344.60 | $29.48 – $1,904.85 |
| UPMC East | Monroeville | $5,562.00 | $41.25 – $7,416.00 |
| UPMC Hamot | Erie | $3,039.00 | $41.25 – $1,846.02 |
| UPMC Hanover | Hanover | $1,344.60 | $29.48 – $2,374.40 |
| UPMC Horizon-Greenville | Greenville | $1,565.40 | $41.25 – $1,599.50 |
| UPMC Lititz | Lititz | $1,344.60 | $29.48 – $2,387.23 |