Anterior thoracic extension at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$496.80
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.
$828.00
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.
$135.62 with Aetna vs $1,127.45 with UPMC 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 |
|---|---|---|---|
| Aetna | Medicare | $135.62 | ↓ -73% |
| Prime Net | Managed Medicare | $136.62 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $165.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $165.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $196.50 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $246.76 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $273.24 | ↓ -45% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $314.64 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $339.48 | ↓ -32% |
| Aetna | ACO | $341.96 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $394.96 | ↓ -20% |
| Aetna | Commercial | $397.44 | ↓ -20% |
| UPMC Work Partners | Workers Comp | $452.31 | ↓ -9% |
| Capital Blue Cross | CHIP | $501.27 | ↑ +1% |
| Capital Blue Cross | Commercial | $501.27 | ↑ +1% |
| United Healthcare | Commercial | $510.05 | ↑ +3% |
| Keystone Health Plan | Commercial | $526.36 | ↑ +6% |
| Geisinger | Commercial | $542.17 | ↑ +9% |
| UPMC Health Plan | Commercial | $579.60 | ↑ +17% |
| Wellspan Population Health | Commercial | $579.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $616.86 | ↑ +24% |
| Cigna | Commercial | $645.84 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $703.80 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,127.45 | ↑ +127% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Anterior thoracic extension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $496.80 | $113.44 – $703.80 |
| UPMC Community Osteopathic | Harrisburg | $496.80 | $165.60 – $1,593.67 |
| UPMC Hanover | Hanover | $496.80 | $196.50 – $1,127.45 |
| UPMC Lititz | Lititz | $496.80 | $135.62 – $1,127.45 |
| UPMC Somerset | Somerset | $496.80 | $172.50 – $675.30 |