Cath stripping venous s&i at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,564.20
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.
$2,607.00
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.
$80.31 with Highmark BCBS of PA vs $2,215.95 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 | $80.31 | ↓ -95% |
| UPMC Health Plan | CHIP | $136.81 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $169.79 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $179.27 | ↓ -89% |
| Premier Comp Solutions | Worker's Comp | $179.27 | ↓ -89% |
| Aetna | Medicare | $208.48 | ↓ -87% |
| Prime Net | Managed Medicare | $430.15 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $521.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $521.40 | ↓ -67% |
| Keystone Health Plan | Commercial | $931.30 | ↓ -40% |
| Capital Blue Cross | Commercial | $931.30 | ↓ -40% |
| Capital Blue Cross | CHIP | $931.30 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $1,068.87 | ↓ -32% |
| Aetna | ACO | $1,076.69 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,243.54 | ↓ -20% |
| Aetna | Commercial | $1,251.36 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,433.85 | ↓ -8% |
| Geisinger | Commercial | $1,707.06 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,824.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,824.90 | ↑ +17% |
| United Healthcare | Commercial | $1,918.75 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,942.21 | ↑ +24% |
| Cigna | Commercial | $2,033.46 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,215.95 | ↑ +42% |
Visitor-reported prices
Comments
Cath stripping venous s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,564.20 | $136.81 – $2,215.95 |
| UPMC Community Osteopathic | Harrisburg | $1,564.20 | $136.81 – $2,215.95 |
| UPMC East | Monroeville | $424.20 | $64.14 – $565.60 |
| UPMC Hamot | Erie | $246.00 | $68.32 – $460.44 |
| UPMC Hanover | Hanover | $1,564.20 | $136.81 – $179.27 |
| UPMC Lititz | Lititz | $1,564.20 | $136.81 – $208.48 |
| UPMC Magee | Pittsburgh | $602.40 | $99.47 – $229.33 |
| UPMC McKeesport | Mckeesport | $416.40 | $62.33 – $229.33 |