Cadd pump refill at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$501.60
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.
?
What you pay up front if you don't use insurance.
$836.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$137.94 with Prime Net vs $711.99 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $137.94 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $138.19 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $138.19 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $141.45 | ↓ -72% |
| United Healthcare Community Plan for Families | PA Medicaid | $142.54 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $148.20 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $158.49 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $167.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $167.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $210.07 | ↓ -58% |
| Aetna | Medicare | $210.72 | ↓ -58% |
| Cigna | Medicare | $212.13 | ↓ -58% |
| Geisinger | Medicare | $212.13 | ↓ -58% |
| United Healthcare | Medicare | $216.17 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $243.54 | ↓ -51% |
| UPMC Health Plan | CHIP | $282.80 | ↓ -44% |
| Keystone Autism Services | ACAP | $323.25 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $342.76 | ↓ -32% |
| Aetna | ACO | $345.27 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $398.77 | ↓ -21% |
| Aetna | Commercial | $401.28 | ↓ -20% |
| Capital Blue Cross | Commercial | $506.11 | ↑ +1% |
| Capital Blue Cross | CHIP | $506.11 | ↑ +1% |
| Keystone Health Plan | Commercial | $531.45 | ↑ +6% |
| Geisinger | Commercial | $547.41 | ↑ +9% |
| Wellspan Population Health | Commercial | $585.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $585.20 | ↑ +17% |
| United Healthcare | Commercial | $615.30 | ↑ +23% |
| Prime Net | FH-Medical Rental | $622.82 | ↑ +24% |
| Cigna | Commercial | $652.08 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $669.20 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $710.60 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $711.99 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cadd pump refill at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $501.60 | $114.53 – $710.60 |
| UPMC Community Osteopathic | Harrisburg | $501.60 | $138.19 – $710.60 |
| UPMC Hanover | Hanover | $501.60 | $138.19 – $322.03 |
| UPMC Somerset | Somerset | $501.60 | $119.69 – $232.72 |
| Uniontown Hospital | Uniontown | $229.50 | $79.78 – $428.19 |