Cath ablt clsfast 7fx100cmx at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,271.00
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.
$3,785.00
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.
$523.63 with Highmark BCBS of PA vs $4,098.86 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $523.63 | ↓ -77% |
| Prime Net | Managed Medicare | $624.52 | ↓ -73% |
| Aetna | Medicare | $739.92 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $757.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $757.00 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $1,249.05 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,261.54 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,438.30 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $1,551.85 | ↓ -32% |
| Aetna | ACO | $1,563.20 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,805.44 | ↓ -21% |
| Aetna | Commercial | $1,816.80 | ↓ -20% |
| Capital Blue Cross | Commercial | $2,291.44 | ↑ +1% |
| Capital Blue Cross | CHIP | $2,291.44 | ↑ +1% |
| United Healthcare | Commercial | $2,331.56 | ↑ +3% |
| Keystone Health Plan | Commercial | $2,406.12 | ↑ +6% |
| Geisinger | Commercial | $2,478.42 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,649.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,649.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,819.82 | ↑ +24% |
| Cigna | Commercial | $2,952.30 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,217.25 | ↑ +42% |
| UPMC Health Plan | CHIP | $4,098.86 | ↑ +80% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath ablt clsfast 7fx100cmx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,759.80 | $642.46 – $4,098.86 |
| UPMC Community Osteopathic | Harrisburg | $2,271.00 | $757.00 – $4,098.86 |
| UPMC Hamot | Erie | $1,861.20 | $642.46 – $642.46 |
| UPMC Northwest | Seneca | $1,363.20 | $1,667.42 – $4,959.99 |
| UPMC Horizon-Greenville | Greenville | $1,048.20 | $1,637.35 – $4,098.86 |
| UPMC Jameson | New Castle | $2,513.40 | $653.79 – $4,098.86 |
| UPMC Magee | Pittsburgh | $5,112.00 | $648.57 – $4,098.86 |
| UPMC McKeesport | Mckeesport | $8,284.20 | $648.57 – $4,098.86 |