Wound therapy negative pressure per session > 50 sq cm at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$262.20
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.
?
What you pay up front if you don't use insurance.
$437.00
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.
$35.90 with Highmark BCBS of PA vs $476.12 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 | $35.90 | ↓ -86% |
| Cigna | Commercial | $134.60 | ↓ -49% |
| UPMC Health Plan | CHIP | $152.95 | ↓ -42% |
| United Healthcare | Commercial | $164.75 | ↓ -37% |
| UPMC Health Plan | Commercial | $196.65 | ↓ -25% |
| PA Health & Wellness | PA Medicaid HMO | $240.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $240.35 | ↓ -8% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $261.71 | ↓ -0% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $327.75 | ↑ +25% |
| Humana | Commercial | $349.60 | ↑ +33% |
| United Healthcare | Medicare | $380.90 | ↑ +45% |
| Humana | Medicare | $380.90 | ↑ +45% |
| Aetna of PA | Medicare | $380.90 | ↑ +45% |
| National Provider Network | PPO | $384.56 | ↑ +47% |
| UPMC Health Plan | Managed Medicare | $396.97 | ↑ +51% |
| UPMC Health Plan | EPO Partners/Partners/Select | $397.74 | ↑ +52% |
| Highmark Wholecare (prev Gateway) | Medicare | $411.33 | ↑ +57% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $411.37 | ↑ +57% |
| AmeriHealth Caritas | Medicare | $411.37 | ↑ +57% |
| Cigna | Medicare | $411.37 | ↑ +57% |
| Occunet | Commercial | $476.12 | ↑ +82% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Wound therapy negative pressure per session > 50 sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $253.20 | $35.28 – $411.37 |
| UPMC Bedford | Everett | $221.40 | $97.84 – $411.37 |
| UPMC Northwest | Seneca | $210.00 | $91.57 – $91.57 |
| UPMC Horizon-Greenville | Greenville | $217.80 | $85.57 – $411.37 |
| UPMC Magee | Pittsburgh | $208.80 | $35.62 – $418.99 |
| UPMC McKeesport | Mckeesport | $212.40 | $35.62 – $418.99 |
| UPMC Mercy | Pittsburgh | $154.80 | $35.28 – $418.99 |
| UPMC Williamsport | Williamsport | $230.40 | $291.29 – $411.37 |