Calcium ionized at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$69.60
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.
$116.00
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.
$7.64 with United Healthcare vs $98.84 with Keystone 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 |
|---|---|---|---|
| United Healthcare | Commercial | $7.64 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.85 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.24 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $11.51 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $11.59 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.05 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $12.89 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $14.15 | ↓ -80% |
| Aetna | Medicare | $14.27 | ↓ -79% |
| Geisinger | Medicare | $14.36 | ↓ -79% |
| Cigna | Medicare | $14.36 | ↓ -79% |
| United Healthcare | Medicare | $14.64 | ↓ -79% |
| Prime Net | Managed Medicare | $19.14 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $21.53 | ↓ -69% |
| Keystone Autism Services | ACAP | $21.89 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $23.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $23.20 | ↓ -67% |
| Cigna | Commercial | $35.56 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $45.31 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $47.56 | ↓ -32% |
| Aetna | ACO | $47.91 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $48.21 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $55.33 | ↓ -21% |
| Aetna | Commercial | $55.68 | ↓ -20% |
| UPMC Health Plan | CHIP | $67.87 | ↓ -2% |
| Geisinger | Commercial | $75.96 | ↑ +9% |
| Wellspan Population Health | Commercial | $81.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $81.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $86.42 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $98.60 | ↑ +42% |
| Capital Blue Cross | CHIP | $98.84 | ↑ +42% |
| Capital Blue Cross | Commercial | $98.84 | ↑ +42% |
| Keystone Health Plan | Commercial | $98.84 | ↑ +42% |
Visitor-reported prices
Comments
Calcium ionized at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $149.40 | $8.85 – $199.20 |
| UPMC Bedford | Everett | $75.00 | $4.94 – $112.50 |
| UPMC Carlisle | Carlisle | $69.60 | $7.64 – $98.60 |
| UPMC Cole | Coudersport | $94.80 | $8.89 – $126.40 |
| UPMC Community Osteopathic | Harrisburg | $69.60 | $8.85 – $98.60 |
| UPMC East | Monroeville | $203.40 | $8.85 – $271.20 |
| UPMC Hamot | Erie | $147.60 | $8.85 – $26.41 |
| UPMC Northwest | Seneca | $66.60 | $9.73 – $14.77 |