Brachy src nonstrand hdr ir-192 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$625.80
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.
$1,043.00
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.
$165.47 with Highmark BCBS of PA vs $1,275.46 with UPMC 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $165.47 | ↓ -74% |
| Prime Net | Managed Medicare | $172.09 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $208.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $208.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $268.26 | ↓ -57% |
| Aetna | Medicare | $342.44 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $344.19 | ↓ -45% |
| Geisinger | Medicare | $344.74 | ↓ -45% |
| Cigna | Medicare | $344.74 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $347.63 | ↓ -44% |
| United Healthcare | Medicare | $351.30 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $396.34 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $427.63 | ↓ -32% |
| Aetna | ACO | $430.76 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $497.51 | ↓ -21% |
| Aetna | Commercial | $500.64 | ↓ -20% |
| Keystone Autism Services | ACAP | $525.31 | ↓ -16% |
| Capital Blue Cross | CHIP | $631.43 | ↑ +1% |
| Capital Blue Cross | Commercial | $631.43 | ↑ +1% |
| United Healthcare | Commercial | $642.49 | ↑ +3% |
| Keystone Health Plan | Commercial | $663.04 | ↑ +6% |
| Geisinger | Commercial | $682.96 | ↑ +9% |
| Wellspan Population Health | Commercial | $730.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $730.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $777.03 | ↑ +24% |
| Cigna | Commercial | $813.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $886.55 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $1,087.53 | ↑ +74% |
| Highmark BCBS of PA | Commercial | $1,157.07 | ↑ +85% |
| UPMC Health Plan | CHIP | $1,275.46 | ↑ +104% |
| 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 | — |
Visitor-reported prices
Comments
Brachy src nonstrand hdr ir-192 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $750.00 | $203.02 – $1,000.00 |
| UPMC East | Monroeville | $1,657.80 | $204.95 – $2,210.40 |
| UPMC Magee | Pittsburgh | $1,891.20 | $204.95 – $359.07 |
| UPMC Passavant-McCandless | Pittsburgh | $2,066.40 | $204.95 – $359.07 |
| UPMC Presbyterian | Pittsburgh | $1,975.20 | $204.95 – $2,062.18 |
| UPMC Williamsport | Williamsport | $1,164.60 | $262.12 – $352.54 |