#a/b/c/c/h pnl-candida albicans ab at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$66.60
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.
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What you pay up front if you don't use insurance.
$111.00
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.
$12.42 with UPMC Work Partners vs $104.22 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $12.42 | ↓ -81% |
| Aetna | Medicare | $12.53 | ↓ -81% |
| Cigna | Medicare | $12.61 | ↓ -81% |
| Geisinger | Medicare | $12.61 | ↓ -81% |
| United Healthcare | Medicare | $12.85 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $16.60 | ↓ -75% |
| Prime Net | Managed Medicare | $18.32 | ↓ -72% |
| Keystone Autism Services | ACAP | $19.22 | ↓ -71% |
| United Healthcare | Commercial | $19.44 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.08 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $21.58 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $21.75 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $22.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $22.20 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.61 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $24.18 | ↓ -64% |
| Highmark BCBS of PA | Medicare | $27.44 | ↓ -59% |
| Cigna | Commercial | $31.24 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $39.78 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $42.33 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $45.51 | ↓ -32% |
| Aetna | ACO | $45.84 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $52.95 | ↓ -20% |
| Aetna | Commercial | $53.28 | ↓ -20% |
| Geisinger | Commercial | $72.68 | ↑ +9% |
| UPMC Health Plan | Commercial | $77.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $77.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $82.69 | ↑ +24% |
| Capital Blue Cross | Commercial | $86.85 | ↑ +30% |
| Capital Blue Cross | CHIP | $86.85 | ↑ +30% |
| Keystone Health Plan | Commercial | $86.85 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $94.35 | ↑ +42% |
| UPMC Health Plan | CHIP | $104.22 | ↑ +56% |
Visitor-reported prices
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#a/b/c/c/h pnl-candida albicans ab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $121.80 | $11.87 – $162.40 |
| UPMC Bedford | Everett | $204.00 | $4.33 – $306.00 |
| UPMC Carlisle | Carlisle | $66.60 | $11.89 – $94.35 |
| UPMC Cole | Coudersport | $119.40 | $7.81 – $159.20 |
| UPMC Community Osteopathic | Harrisburg | $66.60 | $11.89 – $104.22 |
| UPMC East | Monroeville | $260.40 | $11.87 – $347.20 |
| UPMC Hamot | Erie | $94.20 | $11.87 – $33.66 |
| UPMC Northwest | Seneca | $112.80 | $10.89 – $19.09 |