Trnscath tx thromblytc art/ven sbsq day at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$951.60
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.
?
What you pay up front if you don't use insurance.
$1,586.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$216.89 with Highmark BCBS of PA vs $4,051.03 with Occunet — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $216.89 | ↓ -77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $229.95 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $356.75 | ↓ -63% |
| UPMC Health Plan | CHIP | $555.10 | ↓ -42% |
| UPMC Health Plan | Commercial | $713.70 | ↓ -25% |
| Geisinger | Medicaid/CHIP | $872.30 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $872.30 | ↓ -8% |
| United Healthcare | Commercial | $882.00 | ↓ -7% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,189.50 | ↑ +25% |
| Humana | Commercial | $1,268.80 | ↑ +33% |
| National Provider Network | PPO | $1,395.68 | ↑ +47% |
| Cigna | Commercial | $2,841.30 | ↑ +199% |
| Humana | Medicare | $3,000.76 | ↑ +215% |
| United Healthcare | Medicare | $3,000.76 | ↑ +215% |
| Aetna of PA | Medicare | $3,000.76 | ↑ +215% |
| UPMC Health Plan | Managed Medicare | $3,127.39 | ↑ +229% |
| UPMC Health Plan | EPO Partners/Partners/Select | $3,133.39 | ↑ +229% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +241% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↑ +241% |
| Cigna | Medicare | $3,240.82 | ↑ +241% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↑ +241% |
| Occunet | Commercial | $4,051.03 | ↑ +326% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Trnscath tx thromblytc art/ven sbsq day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,954.40 | $213.13 – $7,939.20 |
| UPMC Carlisle | Carlisle | $5,324.40 | $261.95 – $7,542.90 |
| UPMC Community Osteopathic | Harrisburg | $5,324.40 | $261.95 – $7,542.90 |
| UPMC East | Monroeville | $6,768.60 | $215.16 – $9,024.80 |
| UPMC Hamot | Erie | $5,359.80 | $213.13 – $4,364.40 |
| UPMC Hanover | Hanover | $5,324.40 | $261.95 – $4,810.90 |
| UPMC Lititz | Lititz | $5,324.40 | $261.95 – $4,836.88 |
| UPMC Memorial | York | $5,324.40 | $173.71 – $4,829.02 |