Bronch ebus samplng 3/> node at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$8,557.20
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.
$14,262.00
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.
$266.23 with AmeriHealth Caritas vs $12,459.53 with Highmark BCBS of PA — 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 | $266.23 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $266.23 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $272.52 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $285.52 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $305.35 | ↓ -96% |
| UPMC Health Plan | CHIP | $380.07 | ↓ -96% |
| Highmark BCBS of PA | Medicare | $525.87 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $1,293.23 | ↓ -85% |
| Prime Net | Managed Medicare | $2,353.23 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $2,852.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,852.40 | ↓ -67% |
| Aetna | Medicare | $3,687.44 | ↓ -57% |
| Cigna | Medicare | $3,712.19 | ↓ -57% |
| Geisinger | Medicare | $3,712.19 | ↓ -57% |
| United Healthcare | Medicare | $3,782.90 | ↓ -56% |
| Keystone Autism Services | ACAP | $5,656.67 | ↓ -34% |
| Prime Net | ACO/Legacy Commercial | $5,847.42 | ↓ -32% |
| Aetna | ACO | $5,890.21 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $6,802.97 | ↓ -21% |
| Aetna | Commercial | $6,845.76 | ↓ -20% |
| Capital Blue Cross | CHIP | $7,073.85 | ↓ -17% |
| Capital Blue Cross | Commercial | $7,073.85 | ↓ -17% |
| Keystone Health Plan | Commercial | $7,105.35 | ↓ -17% |
| Geisinger | Commercial | $9,338.76 | ↑ +9% |
| Wellspan Population Health | Commercial | $9,983.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $9,983.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $10,625.19 | ↑ +24% |
| Cigna | Commercial | $11,124.36 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $11,710.73 | ↑ +37% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $12,122.70 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $12,459.53 | ↑ +46% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Bronch ebus samplng 3/> node at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $973.80 | $209.63 – $1,298.40 |
| UPMC Carlisle | Carlisle | $8,557.20 | $266.23 – $12,122.70 |
| UPMC Community Osteopathic | Harrisburg | $8,557.20 | $266.23 – $12,122.70 |
| UPMC Hanover | Hanover | $8,557.20 | $266.23 – $5,635.42 |
| UPMC Jameson | New Castle | $2,476.20 | $230.59 – $4,745.33 |
| UPMC Lititz | Lititz | $8,557.20 | $266.23 – $5,665.87 |
| UPMC Mercy | Pittsburgh | $2,476.20 | $210.10 – $3,866.57 |
| UPMC Presbyterian | Pittsburgh | $4,643.40 | $215.38 – $3,866.57 |