Access & clsr pq fem art endogft dlvry w/img uni at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$5,737.80
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.
$9,563.00
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.
$68.57 with Highmark BCBS of PA vs $9,539.00 with Cigna — 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 | $68.57 | ↓ -99% |
| Aetna | Medicare | $131.25 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $139.97 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $178.59 | ↓ -97% |
| Prime Net | Managed Medicare | $1,577.89 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,912.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,912.60 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $3,920.83 | ↓ -32% |
| Aetna | ACO | $3,949.52 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $4,561.55 | ↓ -21% |
| Aetna | Commercial | $4,590.24 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $5,259.65 | ↓ -8% |
| Capital Blue Cross | Commercial | $5,789.44 | ↑ +1% |
| Capital Blue Cross | CHIP | $5,789.44 | ↑ +1% |
| Keystone Health Plan | Commercial | $6,079.20 | ↑ +6% |
| Geisinger | Commercial | $6,261.85 | ↑ +9% |
| UPMC Health Plan | CHIP | $6,694.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $6,694.10 | ↑ +17% |
| Wellspan Population Health | Commercial | $6,694.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,124.44 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,128.55 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +66% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Access & clsr pq fem art endogft dlvry w/img uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,335.60 | $84.13 – $5,780.80 |
| UPMC Community Osteopathic | Harrisburg | $5,737.80 | $139.97 – $8,128.55 |
| UPMC Northwest | Seneca | $504.00 | $170.65 – $218.35 |
| UPMC Hanover | Hanover | $5,737.80 | $139.97 – $178.59 |
| UPMC Somerset | Somerset | $5,737.80 | $83.28 – $170.65 |