Bundle his recording at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$16,796.40
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.
$27,994.00
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.
$154.31 with AmeriHealth Caritas vs $26,253.15 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $154.31 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $154.31 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $157.95 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $159.16 | ↓ -99% |
| Highmark BCBS of PA | Medicare | $162.57 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $165.48 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $176.98 | ↓ -99% |
| UPMC Health Plan | CHIP | $625.80 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $648.06 | ↓ -96% |
| Prime Net | Managed Medicare | $4,619.01 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $5,598.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $5,598.80 | ↓ -67% |
| Aetna | Medicare | $7,589.11 | ↓ -55% |
| Geisinger | Medicare | $7,640.04 | ↓ -55% |
| Cigna | Medicare | $7,640.04 | ↓ -55% |
| United Healthcare | Medicare | $7,785.57 | ↓ -54% |
| Prime Net | ACO/Legacy Commercial | $11,477.54 | ↓ -32% |
| Aetna | ACO | $11,561.52 | ↓ -31% |
| Keystone Autism Services | ACAP | $11,641.97 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $13,353.14 | ↓ -20% |
| Aetna | Commercial | $13,437.12 | ↓ -20% |
| United Healthcare | Commercial | $14,528.89 | ↓ -13% |
| Geisinger | Commercial | $18,330.47 | ↑ +9% |
| Wellspan Population Health | Commercial | $19,595.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $19,595.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $20,855.53 | ↑ +24% |
| Cigna | Commercial | $21,835.32 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $23,794.90 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $24,101.78 | ↑ +43% |
| Highmark BCBS of PA | Commercial | $25,642.89 | ↑ +53% |
| Capital Blue Cross | Commercial | $26,253.15 | ↑ +56% |
| Keystone Health Plan | Commercial | $26,253.15 | ↑ +56% |
| Capital Blue Cross | CHIP | $26,253.15 | ↑ +56% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Bundle his recording at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,164.60 | $121.50 – $1,552.80 |
| UPMC Carlisle | Carlisle | $16,796.40 | $154.31 – $23,794.90 |
| UPMC East | Monroeville | $1,208.40 | $133.65 – $7,596.06 |
| UPMC Hamot | Erie | $921.00 | $133.65 – $9,017.29 |
| UPMC Lititz | Lititz | $16,796.40 | $154.31 – $11,660.91 |
| UPMC Passavant-McCandless | Pittsburgh | $6,244.80 | $133.65 – $7,957.77 |
| UPMC Presbyterian | Pittsburgh | $5,290.20 | $133.65 – $7,957.77 |