Biospy of bladder at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,136.60
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.
$3,561.00
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.
$15.15 with Highmark BCBS of PA vs $3,026.85 with Multiplan — 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 | $15.15 | ↓ -99% |
| UPMC Health Plan | CHIP | $47.49 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $171.70 | ↓ -92% |
| Aetna | Medicare | $243.24 | ↓ -89% |
| Cigna | Medicare | $244.87 | ↓ -89% |
| Geisinger | Medicare | $244.87 | ↓ -89% |
| United Healthcare | Medicare | $249.53 | ↓ -88% |
| Keystone Autism Services | ACAP | $373.14 | ↓ -83% |
| Prime Net | Managed Medicare | $587.57 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $712.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $712.20 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $772.48 | ↓ -64% |
| Highmark BCBS of PA | Commercial | $821.88 | ↓ -62% |
| Capital Blue Cross | Commercial | $1,310.40 | ↓ -39% |
| Capital Blue Cross | CHIP | $1,310.40 | ↓ -39% |
| Keystone Health Plan | Commercial | $1,310.40 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $1,460.01 | ↓ -32% |
| Aetna | ACO | $1,470.69 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,698.60 | ↓ -20% |
| Aetna | Commercial | $1,709.28 | ↓ -20% |
| United Healthcare | Commercial | $1,848.16 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $1,958.55 | ↓ -8% |
| Geisinger | Commercial | $2,331.74 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,492.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,492.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,652.95 | ↑ +24% |
| Cigna | Commercial | $2,777.58 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,026.85 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,136.60 | $47.49 – $3,026.85 |
| UPMC Community Osteopathic | Harrisburg | $2,136.60 | $47.49 – $3,026.85 |
| UPMC Northwest | Seneca | $111.60 | $34.22 – $250.42 |
| UPMC Hanover | Hanover | $2,136.60 | $47.49 – $371.74 |
| UPMC Horizon-Greenville | Greenville | $254.40 | $26.60 – $250.42 |
| UPMC Jameson | New Castle | $85.20 | $18.92 – $313.02 |
| UPMC Lititz | Lititz | $2,136.60 | $47.49 – $373.74 |
| UPMC Magee | Pittsburgh | $114.60 | $18.77 – $255.06 |