Actigraphy testing at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$245.40
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.
?
What you pay up front if you don't use insurance.
$409.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$45.93 with United Healthcare Community Plan for Families vs $2,148.30 with Keystone Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $45.93 | ↓ -81% |
| Aetna | Medicare | $59.41 | ↓ -76% |
| Cigna | Medicare | $59.81 | ↓ -76% |
| Geisinger | Medicare | $59.81 | ↓ -76% |
| United Healthcare | Medicare | $60.95 | ↓ -75% |
| Prime Net | Managed Medicare | $67.48 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $81.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $81.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $91.14 | ↓ -63% |
| Highmark BCBS of PA | Medicare | $96.67 | ↓ -61% |
| Prime Net | ACO/Legacy Commercial | $167.69 | ↓ -32% |
| Aetna | ACO | $168.92 | ↓ -31% |
| Highmark BCBS of PA | Medicaid | $188.67 | ↓ -23% |
| Prime Net | GateKeeper/NonGateKeeper | $195.09 | ↓ -21% |
| Aetna | Commercial | $196.32 | ↓ -20% |
| Highmark BCBS of PA | Commercial | $200.74 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $224.95 | ↓ -8% |
| Geisinger | Commercial | $267.81 | ↑ +9% |
| Wellspan Population Health | Commercial | $286.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $286.30 | ↑ +17% |
| UPMC Health Plan | CHIP | $287.06 | ↑ +17% |
| Prime Net | FH-Medical Rental | $304.70 | ↑ +24% |
| Cigna | Commercial | $319.02 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $347.65 | ↑ +42% |
| United Healthcare | Commercial | $1,611.00 | ↑ +556% |
| Capital Blue Cross | Commercial | $2,148.30 | ↑ +775% |
| Capital Blue Cross | CHIP | $2,148.30 | ↑ +775% |
| Keystone Health Plan | Commercial | $2,148.30 | ↑ +775% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Actigraphy testing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $245.40 | $31.25 – $347.65 |
| UPMC Hanover | Hanover | $245.40 | $45.93 – $287.06 |
| UPMC Lititz | Lititz | $245.40 | $45.93 – $287.06 |
| UPMC Passavant-McCandless | Pittsburgh | $728.40 | $52.63 – $119.74 |
| WellSpan Good Samaritan Hospital | Lebanon | $244.80 | $44.55 – $102.69 |