Cath del ampltz 12f 45d 80cm at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$379.20
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.
$632.00
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.
$9.31 with Aetna vs $1,720.04 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 |
|---|---|---|---|
| Aetna | Medicare | $9.31 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $59.05 | ↓ -84% |
| Prime Net | Managed Medicare | $83.82 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $101.60 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $101.60 | ↓ -73% |
| Prime Net | ACO/Legacy Commercial | $208.28 | ↓ -45% |
| Aetna | ACO | $209.80 | ↓ -45% |
| Prime Net | GateKeeper/NonGateKeeper | $242.32 | ↓ -36% |
| Aetna | Commercial | $243.84 | ↓ -36% |
| Geisinger | Medicaid/CHIP | $279.40 | ↓ -26% |
| Capital Blue Cross | Commercial | $307.54 | ↓ -19% |
| Capital Blue Cross | CHIP | $307.54 | ↓ -19% |
| Keystone Health Plan | Commercial | $322.94 | ↓ -15% |
| Geisinger | Commercial | $332.64 | ↓ -12% |
| Wellspan Population Health | Commercial | $355.60 | ↓ -6% |
| UPMC Health Plan | Commercial | $355.60 | ↓ -6% |
| United Healthcare | Commercial | $373.89 | ↓ -1% |
| Prime Net | FH-Medical Rental | $378.46 | ↓ -0% |
| Cigna | Commercial | $396.24 | ↑ +4% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $431.80 | ↑ +14% |
| UPMC Health Plan | CHIP | $1,720.04 | ↑ +354% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath del ampltz 12f 45d 80cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,343.60 | $72.46 – $1,720.04 |
| UPMC Community Osteopathic | Harrisburg | $379.20 | $101.60 – $1,720.04 |
| UPMC East | Monroeville | $3,640.20 | $73.15 – $1,720.04 |
| UPMC Hamot | Erie | $2,725.20 | $72.46 – $72.46 |
| UPMC Jameson | New Castle | $235.20 | $9.31 – $1,720.04 |
| UPMC Mercy | Pittsburgh | $742.80 | $72.46 – $1,358.22 |
| UPMC Passavant-McCandless | Pittsburgh | $1,204.20 | $73.15 – $2,495.99 |
| UPMC Presbyterian | Pittsburgh | $5,540.40 | $73.15 – $2,781.00 |