Cath steerable flex adv 12f at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$5,464.80
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.
$9,108.00
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.
$48.80 with Highmark BCBS of PA vs $2,788.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $48.80 | ↓ -99% |
| Aetna | Medicare | $137.47 | ↓ -97% |
| UPMC Health Plan | CHIP | $158.31 | ↓ -97% |
| Prime Net | Managed Medicare | $541.20 | ↓ -90% |
| Keystone Health Plan | Medicare Advantage | $656.00 | ↓ -88% |
| Capital Blue Cross | Medicare Advantage | $656.00 | ↓ -88% |
| Prime Net | ACO/Legacy Commercial | $1,344.80 | ↓ -75% |
| Aetna | ACO | $1,354.64 | ↓ -75% |
| Prime Net | GateKeeper/NonGateKeeper | $1,564.56 | ↓ -71% |
| Aetna | Commercial | $1,574.40 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $1,804.00 | ↓ -67% |
| Capital Blue Cross | Commercial | $1,985.71 | ↓ -64% |
| Capital Blue Cross | CHIP | $1,985.71 | ↓ -64% |
| Keystone Health Plan | Commercial | $2,085.10 | ↓ -62% |
| Geisinger | Commercial | $2,147.74 | ↓ -61% |
| UPMC Health Plan | Commercial | $2,296.00 | ↓ -58% |
| Wellspan Population Health | Commercial | $2,296.00 | ↓ -58% |
| United Healthcare | Commercial | $2,414.08 | ↓ -56% |
| Prime Net | FH-Medical Rental | $2,443.60 | ↓ -55% |
| Cigna | Commercial | $2,558.40 | ↓ -53% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,788.00 | ↓ -49% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath steerable flex adv 12f at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,878.40 | $59.87 – $2,438.40 |
| UPMC Community Osteopathic | Harrisburg | $5,464.80 | $158.31 – $2,788.00 |
| UPMC Hamot | Erie | $4,687.20 | $59.87 – $59.87 |
| UPMC Northwest | Seneca | $2,410.80 | $155.39 – $191.57 |
| UPMC Horizon-Greenville | Greenville | $2,274.60 | $152.59 – $158.31 |
| UPMC Magee | Pittsburgh | $2,410.80 | $60.44 – $158.31 |
| UPMC Mercy | Pittsburgh | $6,377.40 | $59.87 – $125.01 |
| UPMC Passavant-McCandless | Pittsburgh | $5,500.80 | $60.44 – $229.73 |