Aqmbf pet rest & rx stress at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$105.60
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.
$176.00
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.
$12.15 with Highmark BCBS of PA vs $1,000.00 with Aetna — 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 BCBS of PA | Medicare | $12.15 | ↓ -88% |
| Prime Net | Managed Medicare | $29.04 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $35.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $35.20 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $72.16 | ↓ -32% |
| Aetna | ACO | $72.69 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $83.95 | ↓ -21% |
| Aetna | Commercial | $84.48 | ↓ -20% |
| Capital Blue Cross | Commercial | $106.55 | ↑ +1% |
| Capital Blue Cross | CHIP | $106.55 | ↑ +1% |
| Keystone Health Plan | Commercial | $111.88 | ↑ +6% |
| Geisinger | Commercial | $115.24 | ↑ +9% |
| UPMC Health Plan | Commercial | $123.20 | ↑ +17% |
| UPMC Health Plan | CHIP | $123.20 | ↑ +17% |
| Wellspan Population Health | Commercial | $123.20 | ↑ +17% |
| United Healthcare | Commercial | $129.54 | ↑ +23% |
| Prime Net | FH-Medical Rental | $131.12 | ↑ +24% |
| Cigna | Commercial | $137.28 | ↑ +30% |
| United Healthcare Community Plan for Families | PA Medicaid | $144.17 | ↑ +37% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $149.60 | ↑ +42% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $171.48 | ↑ +62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $171.48 | ↑ +62% |
| UPMC Health Plan | Managed Medicaid | $175.53 | ↑ +66% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $183.90 | ↑ +74% |
| Geisinger | Medicaid/CHIP | $196.67 | ↑ +86% |
| OneCall | Worker's Comp | $800.00 | ↑ +658% |
| Aetna | Medicare | $1,000.00 | ↑ +847% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Aqmbf pet rest & rx stress at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $105.60 | $24.11 – $800.00 |
| UPMC Community Osteopathic | Harrisburg | $105.60 | $35.20 – $230.10 |
| UPMC Hanover | Hanover | $105.60 | $144.17 – $800.00 |
| UPMC Lititz | Lititz | $105.60 | $144.17 – $1,000.00 |
| UPMC Presbyterian | Pittsburgh | $115.20 | $15.05 – $230.10 |
| UPMC Somerset | Somerset | $105.60 | $14.76 – $4,173.00 |