Amniocentesis therapeutic at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,034.40
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.
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What you pay up front if you don't use insurance.
$1,724.00
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.
$164.41 with Highmark Wholecare (prev Gateway) vs $9,539.00 with Cigna — 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 Wholecare (prev Gateway) | Medicaid | $164.41 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $168.30 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $169.59 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $174.77 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $176.32 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $188.57 | ↓ -82% |
| Highmark BCBS of PA | Medicare | $279.26 | ↓ -73% |
| Prime Net | Managed Medicare | $284.46 | ↓ -73% |
| Aetna | Medicare | $304.23 | ↓ -71% |
| Geisinger | Medicare | $306.27 | ↓ -70% |
| Cigna | Medicare | $306.27 | ↓ -70% |
| United Healthcare | Medicare | $312.11 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $331.23 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $344.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $344.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $466.70 | ↓ -55% |
| Prime Net | ACO/Legacy Commercial | $706.84 | ↓ -32% |
| Aetna | ACO | $712.01 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $822.35 | ↓ -20% |
| Aetna | Commercial | $827.52 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $966.19 | ↓ -7% |
| Highmark BCBS of PA | Commercial | $1,027.97 | ↓ -1% |
| Geisinger | Commercial | $1,128.88 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,206.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,206.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,284.38 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,465.40 | ↑ +42% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +187% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +187% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +187% |
| UPMC Health Plan | CHIP | $3,086.27 | ↑ +198% |
| Cigna | Commercial | $9,539.00 | ↑ +822% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Amniocentesis therapeutic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,034.40 | $164.41 – $1,465.40 |
| UPMC Community Osteopathic | Harrisburg | $1,034.40 | $169.59 – $3,086.27 |
| UPMC Hanover | Hanover | $1,034.40 | $164.41 – $464.94 |
| UPMC Lititz | Lititz | $1,034.40 | $164.41 – $467.46 |
| UPMC Magee | Pittsburgh | $2,431.80 | $142.41 – $345.90 |
| UPMC Somerset | Somerset | $1,034.40 | $142.41 – $316.51 |
| Uniontown Hospital | Uniontown | $420.00 | $140.00 – $613.48 |