Artery x-rays adrenal gland at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,476.40
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.
$5,794.00
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.
$29.48 with United Healthcare Community Plan for Families vs $8,572.42 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $29.48 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.62 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.62 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $48.75 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -98% |
| Aetna | Medicare | $132.18 | ↓ -96% |
| Highmark BCBS of PA | Medicare | $492.84 | ↓ -86% |
| Prime Net | Managed Medicare | $956.01 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $1,158.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,158.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,271.52 | ↓ -63% |
| Premier Comp Solutions | Worker's Comp | $1,271.52 | ↓ -63% |
| Keystone Health Plan | Commercial | $1,435.09 | ↓ -59% |
| Capital Blue Cross | Commercial | $1,435.09 | ↓ -59% |
| Capital Blue Cross | CHIP | $1,435.09 | ↓ -59% |
| UPMC Health Plan | CHIP | $1,921.58 | ↓ -45% |
| Prime Net | ACO/Legacy Commercial | $2,375.54 | ↓ -32% |
| Aetna | ACO | $2,392.92 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $2,763.74 | ↓ -20% |
| Aetna | Commercial | $2,781.12 | ↓ -20% |
| Geisinger | Commercial | $3,793.91 | ↑ +9% |
| Wellspan Population Health | Commercial | $4,055.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $4,055.80 | ↑ +17% |
| United Healthcare | Commercial | $4,264.38 | ↑ +23% |
| Prime Net | FH-Medical Rental | $4,316.53 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,924.90 | ↑ +42% |
| Cigna | Commercial | $8,572.42 | ↑ +147% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays adrenal gland at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,476.40 | $29.48 – $8,572.42 |
| UPMC Community Osteopathic | Harrisburg | $3,476.40 | $29.48 – $4,924.90 |
| UPMC Hamot | Erie | $2,739.60 | $41.25 – $3,740.32 |
| UPMC Hanover | Hanover | $3,476.40 | $29.48 – $8,572.42 |
| UPMC Lititz | Lititz | $3,476.40 | $29.48 – $8,572.42 |
| UPMC Presbyterian | Pittsburgh | $4,380.60 | $27.00 – $3,300.84 |
| UPMC Somerset | Somerset | $3,476.40 | $25.88 – $1,196.45 |
| UPMC Williamsport | Williamsport | $2,556.60 | $28.80 – $3,210.81 |