System pcmkr dual chamber leadless micra av2 intrdcr cath at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$7,450.20
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.
$12,417.00
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.
$275.42 with Aetna of PA vs $18,468.91 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 | $275.42 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $4,097.61 | ↓ -45% |
| PA Health & Wellness | PA Medicaid HMO | $4,097.61 | ↓ -45% |
| United Healthcare | Commercial | $4,333.53 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4,458.39 | ↓ -40% |
| UPMC Health Plan | Commercial | $5,587.65 | ↓ -25% |
| Cigna | Commercial | $5,860.82 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,208.50 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $9,312.75 | ↑ +25% |
| Humana | Commercial | $9,933.60 | ↑ +33% |
| National Provider Network | PPO | $10,926.96 | ↑ +47% |
| UPMC Health Plan | CHIP | $18,468.91 | ↑ +148% |
| 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 pcmkr dual chamber leadless micra av2 intrdcr cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,250.00 | $0.19 – $18,468.91 |
| UPMC Bedford | Everett | $9,612.00 | $1,998.99 – $18,468.91 |
| UPMC Cole | Coudersport | $6,752.40 | $2,138.26 – $9,003.20 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $23,061.01 |
| UPMC East | Monroeville | $25,932.00 | $4,422.80 – $21,512.80 |
| UPMC Hamot | Erie | $24,756.60 | $4,381.08 – $4,381.08 |
| UPMC Northwest | Seneca | $7,169.40 | $11,370.59 – $22,349.03 |
| UPMC Horizon-Greenville | Greenville | $6,763.80 | $11,165.53 – $18,468.91 |