Cardiac rehabilitation op phase 2 w/continous ecg monitoring at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$209.40
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.
$349.00
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.
$31.16 with Highmark BCBS of PA vs $425.51 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $31.16 | ↓ -85% |
| Prime Net | Managed Medicare | $57.59 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $69.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $69.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $72.22 | ↓ -66% |
| United Healthcare Community Plan for Families | PA Medicaid | $95.94 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $99.00 | ↓ -53% |
| UPMC Health Plan | CHIP | $124.94 | ↓ -40% |
| Aetna | Medicare | $125.93 | ↓ -40% |
| Cigna | Medicare | $126.78 | ↓ -39% |
| Geisinger | Medicare | $126.78 | ↓ -39% |
| United Healthcare | Medicare | $129.19 | ↓ -38% |
| Prime Net | ACO/Legacy Commercial | $143.09 | ↓ -32% |
| Aetna | ACO | $144.14 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $166.47 | ↓ -21% |
| Aetna | Commercial | $167.52 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $191.95 | ↓ -8% |
| Keystone Autism Services | ACAP | $193.18 | ↓ -8% |
| Capital Blue Cross | CHIP | $211.28 | ↑ +1% |
| Capital Blue Cross | Commercial | $211.28 | ↑ +1% |
| Keystone Health Plan | Commercial | $221.86 | ↑ +6% |
| Geisinger | Commercial | $228.53 | ↑ +9% |
| Wellspan Population Health | Commercial | $244.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $244.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $260.00 | ↑ +24% |
| Cigna | Commercial | $272.22 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $296.65 | ↑ +42% |
| United Healthcare | Commercial | $330.00 | ↑ +58% |
| Highmark BCBS of PA | Medicaid | $399.94 | ↑ +91% |
| Highmark BCBS of PA | Commercial | $425.51 | ↑ +103% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Cardiac rehabilitation op phase 2 w/continous ecg monitoring at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $259.20 | $38.24 – $345.60 |
| UPMC Bedford | Everett | $121.20 | $43.31 – $181.80 |
| UPMC Cole | Coudersport | $110.40 | $16.16 – $147.20 |
| UPMC Community Osteopathic | Harrisburg | $209.40 | $69.80 – $296.65 |
| UPMC East | Monroeville | $255.00 | $38.60 – $340.00 |
| UPMC Hamot | Erie | $144.00 | $38.24 – $163.36 |
| UPMC Northwest | Seneca | $121.20 | $69.01 – $129.64 |
| UPMC Hanover | Hanover | $209.40 | $72.22 – $192.45 |