Ablate bone tumor(s) cryo perq 20983 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$18,135.00
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.
$30,225.00
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.
$3,601.56 with Highmark BCBS of PA vs $25,691.25 with Multiplan — 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 | Medicare | $3,601.56 | ↓ -80% |
| Prime Net | Managed Medicare | $4,987.12 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $5,285.75 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $6,045.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $6,045.00 | ↓ -67% |
| Aetna | Medicare | $7,144.68 | ↓ -61% |
| Geisinger | Medicare | $7,192.63 | ↓ -60% |
| Cigna | Medicare | $7,192.63 | ↓ -60% |
| United Healthcare | Medicare | $7,329.63 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $9,442.22 | ↓ -48% |
| Cigna | Commercial | $9,539.00 | ↓ -47% |
| Capital Blue Cross | CHIP | $10,518.90 | ↓ -42% |
| Capital Blue Cross | Commercial | $10,518.90 | ↓ -42% |
| Keystone Health Plan | Commercial | $10,518.90 | ↓ -42% |
| Keystone Autism Services | ACAP | $10,960.19 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $12,392.25 | ↓ -32% |
| Aetna | ACO | $12,482.92 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $14,417.33 | ↓ -20% |
| Aetna | Commercial | $14,508.00 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $16,623.75 | ↓ -8% |
| Geisinger | Commercial | $19,791.33 | ↑ +9% |
| UPMC Health Plan | CHIP | $21,157.50 | ↑ +17% |
| Wellspan Population Health | Commercial | $21,157.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $21,157.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $22,517.62 | ↑ +24% |
| Highmark BCBS of PA | Medicaid | $22,690.34 | ↑ +25% |
| Highmark BCBS of PA | Commercial | $24,141.19 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $25,691.25 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Ablate bone tumor(s) cryo perq 20983 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,135.00 | $3,758.61 – $25,691.25 |
| UPMC Community Osteopathic | Harrisburg | $18,135.00 | $2,684.00 – $25,691.25 |
| UPMC East | Monroeville | $25,249.80 | $4,460.95 – $33,666.40 |
| UPMC Hanover | Hanover | $18,135.00 | $5,285.75 – $10,919.06 |
| UPMC Lititz | Lititz | $18,135.00 | $5,285.75 – $10,978.03 |
| UPMC Presbyterian | Pittsburgh | $41,445.60 | $4,460.95 – $12,219.80 |
| UPMC Somerset | Somerset | $18,135.00 | $4,374.18 – $9,022.57 |
| WellSpan Ephrata Community Hospital | Ephrata | $11,082.40 | $5,357.80 – $5,357.80 |