Acute hepatitis panel at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$310.20
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.
$517.00
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.
$12.86 with United Healthcare vs $439.45 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 |
|---|---|---|---|
| United Healthcare | Commercial | $12.86 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $49.26 | ↓ -84% |
| Aetna | Medicare | $49.68 | ↓ -84% |
| Cigna | Medicare | $50.01 | ↓ -84% |
| Geisinger | Medicare | $50.01 | ↓ -84% |
| United Healthcare | Medicare | $50.96 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $52.66 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $66.88 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $68.46 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $68.98 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $71.72 | ↓ -77% |
| Keystone Autism Services | ACAP | $76.21 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $76.70 | ↓ -75% |
| Prime Net | Managed Medicare | $85.31 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $103.04 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $103.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $103.40 | ↓ -67% |
| Cigna | Commercial | $123.84 | ↓ -60% |
| Highmark BCBS of PA | Medicaid | $157.77 | ↓ -49% |
| Highmark BCBS of PA | Commercial | $167.86 | ↓ -46% |
| Prime Net | ACO/Legacy Commercial | $211.97 | ↓ -32% |
| Aetna | ACO | $213.52 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $246.61 | ↓ -20% |
| Aetna | Commercial | $248.16 | ↓ -20% |
| Geisinger | Commercial | $338.53 | ↑ +9% |
| Keystone Health Plan | Commercial | $344.54 | ↑ +11% |
| Capital Blue Cross | CHIP | $344.54 | ↑ +11% |
| Capital Blue Cross | Commercial | $344.54 | ↑ +11% |
| UPMC Health Plan | CHIP | $359.69 | ↑ +16% |
| Wellspan Population Health | Commercial | $361.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $361.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $385.17 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $439.45 | ↑ +42% |
Visitor-reported prices
Comments
Acute hepatitis panel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $241.20 | $47.07 – $321.60 |
| UPMC Bedford | Everett | $291.00 | $17.18 – $436.50 |
| UPMC Carlisle | Carlisle | $310.20 | $12.86 – $439.45 |
| UPMC Cole | Coudersport | $447.00 | $30.96 – $596.00 |
| UPMC Community Osteopathic | Harrisburg | $310.20 | $47.15 – $385.90 |
| UPMC East | Monroeville | $976.80 | $47.07 – $1,302.40 |
| UPMC Hamot | Erie | $721.20 | $47.07 – $126.42 |
| UPMC Northwest | Seneca | $306.00 | $43.20 – $60.56 |