Zika virus dna/rna amp probe at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$155.40
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.
$259.00
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.
$40.88 with Highmark BCBS of PA vs $305.26 with UPMC Health Plan — 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 | $40.88 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $50.71 | ↓ -67% |
| Occunet | Commercial | $51.31 | ↓ -67% |
| Aetna of PA | Medicare | $51.31 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $51.31 | ↓ -67% |
| Humana | Medicare | $51.31 | ↓ -67% |
| United Healthcare | Medicare | $51.31 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $53.48 | ↓ -66% |
| UPMC Health Plan | EPO Partners/Partners/Select | $53.58 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $55.41 | ↓ -64% |
| Cigna | Medicare | $55.41 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.41 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.41 | ↓ -64% |
| UPMC Health Plan | Managed Medicaid | $55.75 | ↓ -64% |
| Aetna | Medicaid | $57.27 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $57.28 | ↓ -63% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $58.28 | ↓ -62% |
| United Healthcare | Commercial | $63.35 | ↓ -59% |
| PA Health & Wellness | PA Medicaid HMO | $86.37 | ↓ -44% |
| Cigna | Commercial | $133.24 | ↓ -14% |
| UPMC Health Plan | Commercial | $188.15 | ↑ +21% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $194.25 | ↑ +25% |
| Humana | Commercial | $207.20 | ↑ +33% |
| National Provider Network | PPO | $227.92 | ↑ +47% |
| UPMC Health Plan | CHIP | $305.26 | ↑ +96% |
Visitor-reported prices
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Zika virus dna/rna amp probe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $202.80 | $40.17 – $270.40 |
| UPMC Bedford | Everett | $264.60 | $18.51 – $396.90 |
| UPMC Horizon-Greenville | Greenville | $155.40 | $45.94 – $70.44 |
| UPMC Kane | Kane | $130.20 | $50.71 – $221.45 |
| UPMC Magee | Pittsburgh | $165.00 | $40.55 – $86.37 |
| UPMC Passavant-McCandless | Pittsburgh | $179.40 | $40.55 – $58.97 |
| UPMC Presbyterian | Pittsburgh | $225.00 | $40.55 – $78.89 |