Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$48.00
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.
$80.00
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.
$2.80 with AmeriHealth Caritas vs $115.05 with Keystone Health Plan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.80 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.56 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $3.64 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $3.67 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3.81 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $4.08 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $4.76 | ↓ -90% |
| United Healthcare | Commercial | $5.08 | ↓ -89% |
| Prime Net | Managed Medicare | $13.20 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $16.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $16.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $16.47 | ↓ -66% |
| Aetna | Medicare | $16.60 | ↓ -65% |
| Geisinger | Medicare | $16.72 | ↓ -65% |
| Cigna | Medicare | $16.72 | ↓ -65% |
| United Healthcare | Medicare | $17.03 | ↓ -65% |
| Keystone Autism Services | ACAP | $25.47 | ↓ -47% |
| UPMC Health Plan | CHIP | $30.86 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $32.80 | ↓ -32% |
| Aetna | ACO | $33.04 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $38.16 | ↓ -21% |
| Aetna | Commercial | $38.40 | ↓ -20% |
| Cigna | Commercial | $41.40 | ↓ -14% |
| Geisinger | Commercial | $52.38 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $52.73 | ↑ +10% |
| Wellspan Population Health | Commercial | $56.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $56.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $56.11 | ↑ +17% |
| Prime Net | FH-Medical Rental | $59.60 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $68.00 | ↑ +42% |
| Capital Blue Cross | Commercial | $115.05 | ↑ +140% |
| Capital Blue Cross | CHIP | $115.05 | ↑ +140% |
| Keystone Health Plan | Commercial | $115.05 | ↑ +140% |
Visitor-reported prices
Comments
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $28.20 | $2.80 – $37.60 |
| UPMC Bedford | Everett | $22.20 | $2.80 – $33.30 |
| UPMC Cole | Coudersport | $74.40 | $2.94 – $99.20 |
| UPMC East | Monroeville | $22.20 | $2.80 – $29.60 |
| UPMC Northwest | Seneca | $30.60 | $3.08 – $16.72 |
| UPMC Horizon-Greenville | Greenville | $22.20 | $2.80 – $17.19 |
| UPMC Jameson | New Castle | $42.00 | $3.08 – $17.19 |
| UPMC Kane | Kane | $58.20 | $3.08 – $68.71 |