Cap trach decann 15mm at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,737.00
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.
$2,895.00
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.
$42.73 with Prime Net vs $3,673.43 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $42.73 | ↓ -98% |
| Capital Blue Cross | Medicare Advantage | $51.80 | ↓ -97% |
| Keystone Health Plan | Medicare Advantage | $51.80 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $85.47 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $86.32 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $98.42 | ↓ -94% |
| Prime Net | ACO/Legacy Commercial | $106.19 | ↓ -94% |
| Aetna | ACO | $106.97 | ↓ -94% |
| Prime Net | GateKeeper/NonGateKeeper | $123.54 | ↓ -93% |
| Aetna | Commercial | $124.32 | ↓ -93% |
| Capital Blue Cross | CHIP | $156.80 | ↓ -91% |
| Capital Blue Cross | Commercial | $156.80 | ↓ -91% |
| United Healthcare | Commercial | $159.54 | ↓ -91% |
| Keystone Health Plan | Commercial | $164.65 | ↓ -91% |
| Geisinger | Commercial | $169.59 | ↓ -90% |
| Wellspan Population Health | Commercial | $181.30 | ↓ -90% |
| UPMC Health Plan | Commercial | $181.30 | ↓ -90% |
| Prime Net | FH-Medical Rental | $192.96 | ↓ -89% |
| Cigna | Commercial | $202.02 | ↓ -88% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $220.15 | ↓ -87% |
| Highmark BCBS of PA | Medicare | $274.12 | ↓ -84% |
| Aetna | Medicare | $514.90 | ↓ -70% |
| UPMC Health Plan | CHIP | $3,673.43 | ↑ +111% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Cap trach decann 15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,029.00 | $91.58 – $3,673.43 |
| UPMC Bedford | Everett | $405.00 | $128.25 – $3,673.43 |
| UPMC Community Osteopathic | Harrisburg | $1,737.00 | $51.80 – $3,673.43 |
| UPMC East | Monroeville | $1,444.80 | $136.04 – $3,673.43 |
| UPMC Hamot | Erie | $3,402.00 | $336.33 – $336.33 |
| UPMC Northwest | Seneca | $1,444.80 | $872.91 – $4,445.18 |
| UPMC Horizon-Greenville | Greenville | $1,444.80 | $857.17 – $3,673.43 |
| UPMC Jameson | New Castle | $1,444.80 | $342.27 – $3,673.43 |