X-ray small intestine follow-through study at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$419.40
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.
$699.00
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.
$25.63 with Highmark BCBS of PA vs $615.12 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $25.63 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $41.39 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $70.47 | ↓ -83% |
| Aetna | Medicaid | $72.39 | ↓ -83% |
| Aetna of PA | Medicare | $74.70 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $83.28 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $89.04 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $96.78 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $109.17 | ↓ -74% |
| UPMC Health Plan | Commercial | $123.36 | ↓ -71% |
| UPMC Health Plan | CHIP | $200.14 | ↓ -52% |
| Cigna | Commercial | $215.29 | ↓ -49% |
| United Healthcare | Commercial | $313.00 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $349.50 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $524.25 | ↑ +25% |
| Humana | Commercial | $559.20 | ↑ +33% |
| National Provider Network | PPO | $615.12 | ↑ +47% |
Visitor-reported prices
Comments
X-ray small intestine follow-through study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $397.20 | $25.19 – $529.60 |
| UPMC Bedford | Everett | $419.40 | $67.26 – $629.10 |
| UPMC Carlisle | Carlisle | $490.20 | $47.15 – $694.45 |
| UPMC Cole | Coudersport | $94.20 | $43.52 – $125.60 |
| UPMC Community Osteopathic | Harrisburg | $490.20 | $47.15 – $694.45 |
| UPMC East | Monroeville | $419.40 | $25.43 – $559.20 |
| UPMC Hamot | Erie | $439.20 | $25.19 – $170.27 |
| UPMC Northwest | Seneca | $419.40 | $65.37 – $109.17 |