Cath acuity innr ic130 6f 63cm at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$5,290.20
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.
$8,817.00
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.
$43.86 with Aetna vs $264.35 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $43.86 | ↓ -99% |
| Prime Net | Managed Medicare | $51.31 | ↓ -99% |
| Keystone Health Plan | Medicare Advantage | $62.20 | ↓ -99% |
| Capital Blue Cross | Medicare Advantage | $62.20 | ↓ -99% |
| Highmark BCBS of PA | Medicare | $63.49 | ↓ -99% |
| Prime Net | ACO/Legacy Commercial | $127.51 | ↓ -98% |
| Aetna | ACO | $128.44 | ↓ -98% |
| Prime Net | GateKeeper/NonGateKeeper | $148.35 | ↓ -97% |
| Aetna | Commercial | $149.28 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $171.05 | ↓ -97% |
| Capital Blue Cross | CHIP | $188.28 | ↓ -96% |
| Capital Blue Cross | Commercial | $188.28 | ↓ -96% |
| Keystone Health Plan | Commercial | $197.70 | ↓ -96% |
| Geisinger | Commercial | $203.64 | ↓ -96% |
| Wellspan Population Health | Commercial | $217.70 | ↓ -96% |
| UPMC Health Plan | Commercial | $217.70 | ↓ -96% |
| United Healthcare | Commercial | $228.90 | ↓ -96% |
| Prime Net | FH-Medical Rental | $231.69 | ↓ -96% |
| UPMC Health Plan | CHIP | $237.50 | ↓ -96% |
| Cigna | Commercial | $242.58 | ↓ -95% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $264.35 | ↓ -95% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath acuity innr ic130 6f 63cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19,131.60 | $9.31 – $237.50 |
| UPMC Carlisle | Carlisle | $982.80 | $224.41 – $1,392.30 |
| UPMC Community Osteopathic | Harrisburg | $5,546.40 | $62.20 – $410.06 |
| UPMC East | Monroeville | $2,401.80 | $8.75 – $237.50 |
| UPMC Hamot | Erie | $23,598.00 | $77.90 – $77.90 |
| UPMC Northwest | Seneca | $1,338.60 | $202.19 – $287.39 |
| UPMC Hanover | Hanover | $982.80 | $237.50 – $237.50 |
| UPMC Horizon-Greenville | Greenville | $2,545.80 | $198.54 – $237.50 |