Cell marker study at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$116.40
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.
$194.00
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.
$9.00 with United Healthcare Community Plan for Families vs $301.93 with Keystone 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $9.00 | ↓ -92% |
| Prime Net | Managed Medicare | $32.01 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $38.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $38.80 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $40.16 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $41.31 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $52.46 | ↓ -55% |
| Aetna | Medicare | $53.43 | ↓ -54% |
| UPMC Health Plan | Managed Medicaid | $53.70 | ↓ -54% |
| Geisinger | Medicare | $53.79 | ↓ -54% |
| Cigna | Medicare | $53.79 | ↓ -54% |
| United Healthcare | Medicare | $54.82 | ↓ -53% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $56.26 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $60.17 | ↓ -48% |
| Prime Net | ACO/Legacy Commercial | $79.54 | ↓ -32% |
| Aetna | ACO | $80.12 | ↓ -31% |
| Keystone Autism Services | ACAP | $81.97 | ↓ -30% |
| Prime Net | GateKeeper/NonGateKeeper | $92.54 | ↓ -20% |
| Aetna | Commercial | $93.12 | ↓ -20% |
| Geisinger | Commercial | $127.03 | ↑ +9% |
| UPMC Health Plan | Commercial | $135.80 | ↑ +17% |
| Wellspan Population Health | Commercial | $135.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $144.53 | ↑ +24% |
| UPMC Health Plan | CHIP | $147.67 | ↑ +27% |
| UPMC Work Partners | Workers Comp | $153.34 | ↑ +32% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $164.90 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $169.69 | ↑ +46% |
| Highmark BCBS of PA | Commercial | $180.54 | ↑ +55% |
| Cigna | Commercial | $259.92 | ↑ +123% |
| Capital Blue Cross | CHIP | $301.93 | ↑ +159% |
| Capital Blue Cross | Commercial | $301.93 | ↑ +159% |
| Keystone Health Plan | Commercial | $301.93 | ↑ +159% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $116.40 | $9.00 – $195.83 |
| UPMC Cole | Coudersport | $255.60 | $43.38 – $340.80 |
| UPMC Community Osteopathic | Harrisburg | $116.40 | $9.00 – $164.90 |
| UPMC East | Monroeville | $381.60 | $40.62 – $508.80 |
| UPMC Hamot | Erie | $265.80 | $38.10 – $181.70 |
| UPMC Northwest | Seneca | $126.60 | $41.00 – $146.53 |
| UPMC Hanover | Hanover | $116.40 | $9.00 – $153.34 |
| UPMC Horizon-Greenville | Greenville | $144.60 | $41.13 – $146.53 |