Ambl bp mntr w/sw a/r at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$258.60
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.
$431.00
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.
$11.45 with Highmark BCBS of PA vs $3,098.55 with Capital Blue Cross — 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 | $11.45 | ↓ -96% |
| Prime Net | Managed Medicare | $71.11 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $86.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $86.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $92.79 | ↓ -64% |
| Aetna | Medicare | $128.91 | ↓ -50% |
| Geisinger | Medicare | $129.78 | ↓ -50% |
| Cigna | Medicare | $129.78 | ↓ -50% |
| United Healthcare | Medicare | $132.25 | ↓ -49% |
| Prime Net | ACO/Legacy Commercial | $176.71 | ↓ -32% |
| Aetna | ACO | $178.00 | ↓ -31% |
| Keystone Autism Services | ACAP | $197.76 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $205.59 | ↓ -20% |
| Aetna | Commercial | $206.88 | ↓ -20% |
| UPMC Health Plan | CHIP | $218.68 | ↓ -15% |
| United Healthcare | Commercial | $223.69 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $237.05 | ↓ -8% |
| Geisinger | Commercial | $282.22 | ↑ +9% |
| Wellspan Population Health | Commercial | $301.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $301.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $321.10 | ↑ +24% |
| Cigna | Commercial | $336.18 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $366.35 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $409.41 | ↑ +58% |
| Highmark BCBS of PA | Commercial | $435.59 | ↑ +68% |
| Keystone Health Plan | Commercial | $3,098.55 | ↑ +1098% |
| Capital Blue Cross | Commercial | $3,098.55 | ↑ +1098% |
| Capital Blue Cross | CHIP | $3,098.55 | ↑ +1098% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ambl bp mntr w/sw a/r at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $18.60 | $5.76 – $24.80 |
| UPMC East | Monroeville | $85.20 | $14.19 – $132.72 |
| UPMC Hamot | Erie | $76.80 | $13.27 – $161.87 |
| UPMC Hanover | Hanover | $258.60 | $92.79 – $218.68 |
| UPMC Horizon-Greenville | Greenville | $76.20 | $34.08 – $132.72 |
| UPMC Jameson | New Castle | $84.60 | $14.30 – $153.61 |
| UPMC Passavant-McCandless | Pittsburgh | $91.20 | $14.19 – $135.18 |
| UPMC Presbyterian | Pittsburgh | $544.20 | $14.19 – $353.57 |