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Blood Count (CBC) Test (without differential) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$32.40
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.
$54.00
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.
$6.69 with UPMC Work Partners vs $46.82 with Capital Blue Cross — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $6.69 | ↓ -79% |
| Aetna | Medicare | $6.75 | ↓ -79% |
| Cigna | Medicare | $6.79 | ↓ -79% |
| Geisinger | Medicare | $6.79 | ↓ -79% |
| United Healthcare | Medicare | $6.92 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.52 | ↓ -77% |
| Prime Net | Managed Medicare | $8.91 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $9.55 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $9.78 | ↓ -70% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.85 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $10.20 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.24 | ↓ -68% |
| Keystone Autism Services | ACAP | $10.35 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $10.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $10.80 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $10.95 | ↓ -66% |
| United Healthcare | Commercial | $11.51 | ↓ -64% |
| Cigna | Commercial | $16.84 | ↓ -48% |
| Highmark BCBS of PA | Medicaid | $21.43 | ↓ -34% |
| Prime Net | ACO/Legacy Commercial | $22.14 | ↓ -32% |
| Aetna | ACO | $22.30 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $22.80 | ↓ -30% |
| Prime Net | GateKeeper/NonGateKeeper | $25.76 | ↓ -20% |
| Aetna | Commercial | $25.92 | ↓ -20% |
| UPMC Health Plan | CHIP | $26.32 | ↓ -19% |
| Geisinger | Commercial | $35.36 | ↑ +9% |
| Wellspan Population Health | Commercial | $37.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $37.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $40.23 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $45.90 | ↑ +42% |
| Capital Blue Cross | CHIP | $46.82 | ↑ +45% |
| Keystone Health Plan | Commercial | $46.82 | ↑ +45% |
| Capital Blue Cross | Commercial | $46.82 | ↑ +45% |
Visitor-reported prices
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Blood Count (CBC) Test (without differential) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $96.60 | $6.39 – $128.80 |
| UPMC Passavant-McCandless | Pittsburgh | $147.00 | $6.01 – $208.25 |
| UPMC Hamot | Erie | $154.80 | $6.39 – $180.60 |
| UPMC Carlisle | Carlisle | $32.40 | $6.41 – $45.90 |
| UPMC Altoona | Altoona | $65.40 | $6.39 – $87.20 |
| UPMC Bedford | Everett | $75.60 | $2.33 – $113.40 |
| UPMC Cole | Coudersport | $46.80 | $4.21 – $62.40 |
| UPMC Community Osteopathic | Harrisburg | $37.80 | $6.41 – $45.90 |