Ammonia at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$74.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$124.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.00 with AmeriHealth Caritas vs $105.43 with Keystone Health Plan — 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 →

Payer
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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
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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
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $5.00 ↓ -93%
Highmark Wholecare (prev Gateway) Medicaid $6.35 ↓ -91%
UPMC Health Plan Managed Medicaid $6.50 ↓ -91%
United Healthcare Community Plan for Families PA Medicaid $6.55 ↓ -91%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $6.81 ↓ -91%
Geisinger Medicaid/CHIP $7.28 ↓ -90%
UPMC Work Partners Workers Comp $15.07 ↓ -80%
Aetna Medicare $15.20 ↓ -80%
Cigna Medicare $15.30 ↓ -79%
Geisinger Medicare $15.30 ↓ -79%
United Healthcare Medicare $15.59 ↓ -79%
Prime Net Managed Medicare $20.46 ↓ -73%
Highmark BCBS of PA Medicare $22.97 ↓ -69%
Keystone Autism Services ACAP $23.31 ↓ -69%
Keystone Health Plan Medicare Advantage $24.80 ↓ -67%
Capital Blue Cross Medicare Advantage $24.80 ↓ -67%
United Healthcare Commercial $25.00 ↓ -66%
Cigna Commercial $37.88 ↓ -49%
Highmark BCBS of PA Medicaid $48.26 ↓ -35%
Prime Net ACO/Legacy Commercial $50.84 ↓ -32%
Aetna ACO $51.21 ↓ -31%
Highmark BCBS of PA Commercial $51.35 ↓ -31%
Prime Net GateKeeper/NonGateKeeper $59.15 ↓ -20%
Aetna Commercial $59.52 ↓ -20%
UPMC Health Plan CHIP $72.63 ↓ -2%
Geisinger Commercial $81.20 ↑ +9%
Wellspan Population Health Commercial $86.80 ↑ +17%
UPMC Health Plan Commercial $86.80 ↑ +17%
Prime Net FH-Medical Rental $92.38 ↑ +24%
Multiplan PPO (Includes PHCS and Humana as Payers) $105.40 ↑ +42%
Capital Blue Cross CHIP $105.43 ↑ +42%
Capital Blue Cross Commercial $105.43 ↑ +42%
Keystone Health Plan Commercial $105.43 ↑ +42%

Visitor-reported prices

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Ammonia at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $151.20 $5.00 – $201.60
UPMC Bedford Everett $91.20 $5.00 – $136.80
UPMC Carlisle Carlisle $74.40 $5.00 – $105.40
UPMC Cole Coudersport $100.80 $5.25 – $134.40
UPMC Community Osteopathic Harrisburg $74.40 $5.00 – $90.10
UPMC East Monroeville $216.00 $5.00 – $288.00
UPMC Hamot Erie $127.80 $5.00 – $28.18
UPMC Northwest Seneca $80.40 $5.50 – $15.30

All Pennsylvania hospitals for this procedure →