Tc-99m bicisate at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$1,984.80
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.
$3,308.00
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.
$683.80 with Humana vs $2,911.04 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 |
|---|---|---|---|
| Humana | Medicare | $683.80 | ↓ -66% |
| United Healthcare | Medicare | $683.80 | ↓ -66% |
| Aetna of PA | Medicare | $683.80 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $712.66 | ↓ -64% |
| UPMC Health Plan | EPO Partners/Partners/Select | $714.02 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $738.44 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $738.50 | ↓ -63% |
| Cigna | Medicare | $738.50 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $738.50 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $802.38 | ↓ -60% |
| Occunet | Commercial | $854.75 | ↓ -57% |
| Cigna | Commercial | $1,018.86 | ↓ -49% |
| United Healthcare | Commercial | $1,247.12 | ↓ -37% |
| UPMC Health Plan | Commercial | $1,488.60 | ↓ -25% |
| UPMC Health Plan | CHIP | $1,556.80 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $1,819.40 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,819.40 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,481.00 | ↑ +25% |
| Humana | Commercial | $2,646.40 | ↑ +33% |
| National Provider Network | PPO | $2,911.04 | ↑ +47% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Tc-99m bicisate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,556.40 | $697.34 – $2,075.20 |
| UPMC Hanover | Hanover | $6,316.80 | $676.96 – $1,556.80 |
| UPMC Lititz | Lititz | $6,316.80 | $676.96 – $1,556.80 |
| UPMC Magee | Pittsburgh | $1,872.60 | $639.97 – $795.97 |
| UPMC Mercy | Pittsburgh | $1,984.80 | $570.02 – $788.47 |
| UPMC Muncy | Muncy | $697.80 | $174.45 – $1,046.70 |
| UPMC Presbyterian | Pittsburgh | $2,040.00 | $738.50 – $2,517.07 |
| UPMC Wellsboro | Wellsboro | $844.00 | $189.90 – $949.50 |