Application of long leg cast 29345 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$520.80
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.
$868.00
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.
$106.05 with Highmark BCBS of PA vs $1,310.40 with Keystone 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $106.05 | ↓ -80% |
| Prime Net | Managed Medicare | $143.22 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $173.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $173.60 | ↓ -67% |
| Aetna | Medicare | $265.61 | ↓ -49% |
| Cigna | Medicare | $267.39 | ↓ -49% |
| Geisinger | Medicare | $267.39 | ↓ -49% |
| United Healthcare | Medicare | $272.49 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $278.13 | ↓ -47% |
| Prime Net | ACO/Legacy Commercial | $355.88 | ↓ -32% |
| Aetna | ACO | $358.48 | ↓ -31% |
| Keystone Autism Services | ACAP | $407.46 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $414.04 | ↓ -20% |
| Aetna | Commercial | $416.64 | ↓ -20% |
| UPMC Health Plan | CHIP | $420.17 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $477.40 | ↓ -8% |
| Geisinger | Commercial | $568.37 | ↑ +9% |
| UPMC Health Plan | Commercial | $607.60 | ↑ +17% |
| Wellspan Population Health | Commercial | $607.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $646.66 | ↑ +24% |
| Cigna | Commercial | $677.04 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $737.80 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $843.54 | ↑ +62% |
| Highmark BCBS of PA | Commercial | $897.47 | ↑ +72% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +95% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +152% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +152% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +152% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Application of long leg cast 29345 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $856.20 | $91.35 – $1,284.30 |
| UPMC Carlisle | Carlisle | $520.80 | $118.92 – $1,016.56 |
| UPMC Cole | Coudersport | $144.60 | $30.21 – $252.52 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $173.60 – $1,016.56 |
| UPMC Hamot | Erie | $801.60 | $130.12 – $368.26 |
| UPMC Hanover | Hanover | $520.80 | $251.17 – $1,016.56 |
| UPMC Lititz | Lititz | $520.80 | $252.53 – $1,016.56 |
| UPMC Magee | Pittsburgh | $913.20 | $131.35 – $336.52 |