Cath right heart w/o2 sat & card at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$4,762.80
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.
$7,938.00
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.
$892.77 with Highmark BCBS of PA vs $17,298.00 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 | $892.77 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $1,178.98 | ↓ -75% |
| Prime Net | Managed Medicare | $1,309.77 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $1,587.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,587.60 | ↓ -67% |
| UPMC Health Plan | CHIP | $3,067.06 | ↓ -36% |
| Aetna | Medicare | $3,216.84 | ↓ -32% |
| Cigna | Medicare | $3,238.43 | ↓ -32% |
| Geisinger | Medicare | $3,238.43 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $3,254.58 | ↓ -32% |
| United Healthcare | Medicare | $3,300.12 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $3,786.43 | ↓ -20% |
| Aetna | ACO | $3,873.74 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $4,365.90 | ↓ -8% |
| Aetna | Commercial | $4,508.78 | ↓ -5% |
| Keystone Autism Services | ACAP | $4,934.75 | ↑ +4% |
| Geisinger | Commercial | $5,197.80 | ↑ +9% |
| Wellspan Population Health | Commercial | $5,556.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $5,556.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,913.81 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,747.30 | ↑ +42% |
| Capital Blue Cross | CHIP | $9,437.40 | ↑ +98% |
| Keystone Health Plan | Commercial | $9,437.40 | ↑ +98% |
| Capital Blue Cross | Commercial | $9,437.40 | ↑ +98% |
| Highmark BCBS of PA | Medicaid | $10,216.17 | ↑ +114% |
| Highmark BCBS of PA | Commercial | $10,869.41 | ↑ +128% |
| Cigna | Commercial | $17,298.00 | ↑ +263% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Cath right heart w/o2 sat & card at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,586.00 | $1,095.37 – $7,448.00 |
| UPMC Carlisle | Carlisle | $4,762.80 | $1,016.56 – $6,747.30 |
| UPMC Community Osteopathic | Harrisburg | $4,762.80 | $1,016.56 – $6,747.30 |
| UPMC East | Monroeville | $5,670.60 | $1,105.80 – $7,560.80 |
| UPMC Hamot | Erie | $2,176.20 | $1,095.37 – $4,459.95 |
| UPMC Northwest | Seneca | $6,459.60 | $1,126.58 – $3,311.78 |
| UPMC Hanover | Hanover | $4,762.80 | $1,016.56 – $4,916.22 |
| UPMC Jameson | New Castle | $5,159.40 | $892.40 – $3,833.07 |