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Carotid Artery Ultrasound (Duplex) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$788.40
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.
$1,314.00
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.
$130.87 with Highmark BCBS of PA vs $1,224.77 with Cigna — 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 | $130.87 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $156.34 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $187.78 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $187.78 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $192.22 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $201.39 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $215.37 | ↓ -73% |
| Prime Net | Managed Medicare | $216.81 | ↓ -73% |
| Aetna | Medicare | $241.76 | ↓ -69% |
| Cigna | Medicare | $243.38 | ↓ -69% |
| Geisinger | Medicare | $243.38 | ↓ -69% |
| United Healthcare | Medicare | $248.02 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $262.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $262.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $370.86 | ↓ -53% |
| UPMC Health Plan | CHIP | $504.34 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $538.74 | ↓ -32% |
| Aetna | ACO | $542.68 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $588.29 | ↓ -25% |
| Prime Net | GateKeeper/NonGateKeeper | $626.78 | ↓ -20% |
| Aetna | Commercial | $630.72 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $767.78 | ↓ -3% |
| Capital Blue Cross | CHIP | $795.50 | ↑ +1% |
| Capital Blue Cross | Commercial | $795.50 | ↑ +1% |
| United Healthcare | Commercial | $801.00 | ↑ +2% |
| Highmark BCBS of PA | Commercial | $816.87 | ↑ +4% |
| Keystone Health Plan | Commercial | $835.31 | ↑ +6% |
| Geisinger | Commercial | $860.41 | ↑ +9% |
| Wellspan Population Health | Commercial | $919.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $919.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $978.93 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,116.90 | ↑ +42% |
| Cigna | Commercial | $1,224.77 | ↑ +55% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Carotid Artery Ultrasound (Duplex) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $831.00 | $162.09 – $1,108.00 |
| UPMC Passavant-McCandless | Pittsburgh | $2,764.20 | $162.09 – $3,915.95 |
| UPMC Hamot | Erie | $1,007.40 | $94.90 – $1,175.30 |
| UPMC Lititz | Lititz | $788.40 | $156.34 – $1,116.90 |
| UPMC Carlisle | Carlisle | $788.40 | $156.34 – $1,116.90 |
| UPMC Altoona | Altoona | $1,053.00 | $119.34 – $1,404.00 |
| UPMC Bedford | Everett | $499.20 | $83.15 – $748.80 |
| UPMC Cole | Coudersport | $481.20 | $155.25 – $641.60 |