Brachy source iodine-125 nonstranded at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$111.60
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.
$186.00
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.
$24.36 with Highmark BCBS of PA vs $158.10 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 | $24.36 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $28.22 | ↓ -75% |
| Prime Net | Managed Medicare | $30.69 | ↓ -73% |
| Aetna | Medicare | $35.12 | ↓ -69% |
| Geisinger | Medicare | $35.35 | ↓ -68% |
| Cigna | Medicare | $35.35 | ↓ -68% |
| United Healthcare | Medicare | $36.03 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $37.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $37.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $53.87 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $61.38 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.99 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $70.68 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $76.26 | ↓ -32% |
| Aetna | ACO | $76.82 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $88.72 | ↓ -21% |
| Aetna | Commercial | $89.28 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $111.53 | ↓ -0% |
| Capital Blue Cross | Commercial | $112.60 | ↑ +1% |
| Capital Blue Cross | CHIP | $112.60 | ↑ +1% |
| United Healthcare | Commercial | $114.58 | ↑ +3% |
| Keystone Health Plan | Commercial | $118.24 | ↑ +6% |
| Highmark BCBS of PA | Commercial | $118.66 | ↑ +6% |
| Geisinger | Commercial | $121.79 | ↑ +9% |
| Wellspan Population Health | Commercial | $130.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $130.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $138.57 | ↑ +24% |
| Cigna | Commercial | $145.08 | ↑ +30% |
| UPMC Health Plan | CHIP | $147.34 | ↑ +32% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $158.10 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |