Appl modality 1/> areas paraffin bath 97018 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$24.60
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.
$41.00
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.
$3.94 with Aetna vs $387.00 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 |
|---|---|---|---|
| Aetna | Medicare | $3.94 | ↓ -84% |
| Prime Net | Managed Medicare | $6.76 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.62 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.62 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $7.80 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $7.86 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.17 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $8.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $8.20 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $8.74 | ↓ -64% |
| Prime Net | ACO/Legacy Commercial | $16.81 | ↓ -32% |
| Aetna | ACO | $16.93 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $19.56 | ↓ -20% |
| Aetna | Commercial | $19.68 | ↓ -20% |
| Highmark BCBS of PA | Medicare | $23.24 | ↓ -6% |
| Geisinger | Commercial | $26.85 | ↑ +9% |
| Wellspan Population Health | Commercial | $28.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $28.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $30.55 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $34.85 | ↑ +42% |
| UPMC Work Partners | Workers Comp | $43.56 | ↑ +77% |
| UPMC Health Plan | CHIP | $78.62 | ↑ +220% |
| United Healthcare | Commercial | $148.00 | ↑ +502% |
| Capital Blue Cross | Commercial | $274.05 | ↑ +1014% |
| Capital Blue Cross | CHIP | $274.05 | ↑ +1014% |
| Keystone Health Plan | Commercial | $274.05 | ↑ +1014% |
| Cigna | Commercial | $387.00 | ↑ +1473% |
Visitor-reported prices
Comments
Appl modality 1/> areas paraffin bath 97018 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $6.00 – $137.60 |
| UPMC Carlisle | Carlisle | $24.60 | $5.62 – $387.00 |
| UPMC Cole | Coudersport | $73.80 | $5.91 – $98.40 |
| UPMC Kane | Kane | $90.60 | $6.60 – $46.98 |
| UPMC Lititz | Lititz | $24.60 | $3.94 – $148.00 |
| UPMC Magee | Pittsburgh | $198.60 | $4.33 – $45.15 |
| UPMC Mercy | Pittsburgh | $80.40 | $6.60 – $46.41 |
| UPMC Muncy | Muncy | $76.80 | $6.60 – $48.30 |