Tgsap so/hl 51/< rna alys at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$2,157.60
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.
$3,596.00
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.
$1,184.22 with Highmark BCBS of PA vs $7,581.85 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,184.22 | ↓ -45% |
| UPMC Health Plan | CHIP | $1,258.60 | ↓ -42% |
| UPMC Health Plan | Commercial | $1,618.20 | ↓ -25% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↑ +19% |
| Aetna | Medicaid | $2,639.32 | ↑ +22% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,640.02 | ↑ +22% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,686.03 | ↑ +24% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,697.00 | ↑ +25% |
| Humana | Commercial | $2,876.80 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↑ +34% |
| Humana | Medicare | $2,919.60 | ↑ +35% |
| United Healthcare | Medicare | $2,919.60 | ↑ +35% |
| Occunet | Commercial | $2,919.60 | ↑ +35% |
| Geisinger | Medicaid/CHIP | $2,919.60 | ↑ +35% |
| Aetna of PA | Medicare | $2,919.60 | ↑ +35% |
| United Healthcare | Commercial | $2,919.60 | ↑ +35% |
| UPMC Health Plan | Managed Medicare | $3,042.81 | ↑ +41% |
| UPMC Health Plan | EPO Partners/Partners/Select | $3,048.65 | ↑ +41% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,152.88 | ↑ +46% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↑ +46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↑ +46% |
| Cigna | Medicare | $3,153.17 | ↑ +46% |
| National Provider Network | PPO | $3,164.48 | ↑ +47% |
| PA Health & Wellness | PA Medicaid HMO | $3,980.47 | ↑ +84% |
| Cigna | Commercial | $7,581.85 | ↑ +251% |
Visitor-reported prices
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Tgsap so/hl 51/< rna alys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,116.80 | $1,163.68 – $3,153.17 |
| UPMC Bedford | Everett | $2,157.60 | $1,053.39 – $3,246.36 |
| UPMC East | Monroeville | $8,626.80 | $1,174.76 – $3,246.36 |
| UPMC Hamot | Erie | $2,157.60 | $1,163.68 – $3,246.36 |
| UPMC Horizon-Greenville | Greenville | $8,138.40 | $1,881.63 – $3,246.36 |
| UPMC Magee | Pittsburgh | $8,626.80 | $1,174.76 – $3,980.47 |
| UPMC McKeesport | Mckeesport | $2,287.20 | $1,174.76 – $3,211.56 |
| UPMC Mercy | Pittsburgh | $2,157.60 | $1,163.68 – $3,211.56 |