X-ray arthrogram shoulder supervision & interpretation (both sides) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$607.20
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.
$1,012.00
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.
$18.98 with United Healthcare Community Plan for Families vs $890.56 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $18.98 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $125.70 | ↓ -79% |
| UPMC Health Plan | Commercial | $244.45 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $253.99 | ↓ -58% |
| United Healthcare | Commercial | $313.00 | ↓ -48% |
| Aetna of PA | Medicare | $340.48 | ↓ -44% |
| United Healthcare | Medicare | $340.48 | ↓ -44% |
| Humana | Medicare | $340.48 | ↓ -44% |
| UPMC Health Plan | Managed Medicare | $354.85 | ↓ -42% |
| UPMC Health Plan | EPO Partners/Partners/Select | $355.53 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -39% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -39% |
| Cigna | Medicare | $367.72 | ↓ -39% |
| UPMC Health Plan | CHIP | $396.59 | ↓ -35% |
| Occunet | Commercial | $425.60 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $556.60 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $556.60 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $759.00 | ↑ +25% |
| Humana | Commercial | $809.60 | ↑ +33% |
| Cigna | Commercial | $881.16 | ↑ +45% |
| National Provider Network | PPO | $890.56 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
X-ray arthrogram shoulder supervision & interpretation (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $358.20 | $123.52 – $477.60 |
| UPMC Bedford | Everett | $441.60 | $110.60 – $662.40 |
| UPMC Carlisle | Carlisle | $814.20 | $21.61 – $2,006.79 |
| UPMC Cole | Coudersport | $291.60 | $121.17 – $388.80 |
| UPMC Community Osteopathic | Harrisburg | $814.20 | $21.61 – $1,153.45 |
| UPMC Hamot | Erie | $913.20 | $123.52 – $566.90 |
| UPMC Northwest | Seneca | $782.40 | $110.11 – $367.72 |
| UPMC Hanover | Hanover | $814.20 | $21.61 – $2,006.79 |