Artery-vein nonautograft at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
not published by hospital
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.
not published by hospital
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.
$793.50 with Highmark Wholecare (prev Gateway) vs $18,267.80 with Highmark BCBS of PA — 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 | $793.50 | — |
| UPMC Health Plan | Managed Medicaid | $812.24 | — |
| Highmark BCBS of PA | Medicare | $840.28 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $843.48 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $850.98 | — |
| Geisinger | Medicaid/CHIP | $910.08 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| UPMC Work Partners | Workers Comp | $2,633.14 | — |
| UPMC Health Plan | CHIP | $3,250.52 | — |
| Aetna | Medicare | $5,406.42 | — |
| Cigna | Medicare | $5,442.71 | — |
| Geisinger | Medicare | $5,442.71 | — |
| United Healthcare | Medicare | $5,546.38 | — |
| Cigna | Commercial | $6,971.00 | — |
| Keystone Autism Services | ACAP | $8,293.65 | — |
| Keystone Health Plan | Commercial | $10,518.90 | — |
| Capital Blue Cross | Commercial | $10,518.90 | — |
| Capital Blue Cross | CHIP | $10,518.90 | — |
| Highmark BCBS of PA | Medicaid | $17,169.92 | — |
| Highmark BCBS of PA | Commercial | $18,267.80 | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Artery-vein nonautograft at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $9,842.40 | $843.48 – $12,908.95 |
| UPMC Somerset | Somerset | $9,842.40 | $616.82 – $5,153.69 |
| Uniontown Hospital | Uniontown | $5,490.00 | $109.97 – $11,202.11 |
| UPMC Altoona | Altoona | not published | $624.80 – $5,565.99 |
| UPMC East | Monroeville | not published | $687.28 – $5,669.06 |
| UPMC Hamot | Erie | not published | $687.28 – $7,495.67 |
| UPMC Northwest | Seneca | not published | $687.28 – $5,411.37 |
| UPMC Lititz | Lititz | not published | $793.50 – $8,307.14 |