Acetaminophen level at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$159.60
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.
$266.00
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.
$11.35 with Highmark BCBS of PA vs $226.10 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 | $11.35 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.89 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $19.28 | ↓ -88% |
| Aetna | Medicare | $19.44 | ↓ -88% |
| Geisinger | Medicare | $19.57 | ↓ -88% |
| Cigna | Medicare | $19.57 | ↓ -88% |
| United Healthcare | Medicare | $19.94 | ↓ -88% |
| Keystone Autism Services | ACAP | $29.82 | ↓ -81% |
| Prime Net | Managed Medicare | $43.89 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $53.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $53.20 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $61.74 | ↓ -61% |
| Highmark BCBS of PA | Commercial | $65.69 | ↓ -59% |
| UPMC Health Plan | CHIP | $87.14 | ↓ -45% |
| Capital Blue Cross | CHIP | $92.35 | ↓ -42% |
| Keystone Health Plan | Commercial | $92.35 | ↓ -42% |
| Capital Blue Cross | Commercial | $92.35 | ↓ -42% |
| Prime Net | ACO/Legacy Commercial | $109.06 | ↓ -32% |
| Aetna | ACO | $109.86 | ↓ -31% |
| United Healthcare | Commercial | $110.90 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $126.88 | ↓ -21% |
| Aetna | Commercial | $127.68 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $146.30 | ↓ -8% |
| Geisinger | Commercial | $174.18 | ↑ +9% |
| Wellspan Population Health | Commercial | $186.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $186.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $198.17 | ↑ +24% |
| Cigna | Commercial | $207.48 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $226.10 | ↑ +42% |
Visitor-reported prices
Comments
Acetaminophen level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $159.60 | $10.25 – $226.10 |
| UPMC Community Osteopathic | Harrisburg | $159.60 | $14.89 – $226.10 |
| UPMC Hanover | Hanover | $159.60 | $14.89 – $87.14 |
| UPMC Lititz | Lititz | $159.60 | $14.89 – $87.14 |
| UPMC Somerset | Somerset | $159.60 | $13.08 – $20.13 |
| Uniontown Hospital | Uniontown | $102.00 | $17.62 – $38.72 |