System pacing micra av at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$7,359.00
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.
$12,265.00
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.
$1,116.69 with Aetna of PA vs $13,088.54 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $1,116.69 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $3,328.38 | ↓ -55% |
| PA Health & Wellness | PA Medicaid HMO | $3,328.38 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,452.43 | ↓ -53% |
| United Healthcare | Commercial | $3,520.01 | ↓ -52% |
| UPMC Health Plan | Commercial | $4,538.70 | ↓ -38% |
| Cigna | Commercial | $4,760.59 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,043.00 | ↓ -31% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $7,564.50 | ↑ +3% |
| Humana | Commercial | $8,068.80 | ↑ +10% |
| National Provider Network | PPO | $8,875.68 | ↑ +21% |
| UPMC Health Plan | CHIP | $13,088.54 | ↑ +78% |
| UPMC Health Plan | Managed Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
Visitor-reported prices
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System pacing micra av at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $23,908.80 | $1,470.41 – $13,088.54 |
| UPMC Bedford | Everett | $5,210.40 | $1,649.96 – $13,088.54 |
| UPMC Cole | Coudersport | $3,982.20 | $1,261.03 – $5,309.60 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $17,857.72 |
| UPMC East | Monroeville | $27,721.80 | $3,424.88 – $16,902.40 |
| UPMC Hamot | Erie | $34,719.00 | $3,392.57 – $3,392.57 |
| UPMC Northwest | Seneca | $6,175.20 | $8,805.02 – $15,838.31 |
| UPMC McKeesport | Mckeesport | $27,028.80 | $1,228.36 – $13,088.54 |