Cerebrospinal fld flw imag at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,475.40
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.
$2,459.00
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.
$139.70 with AmeriHealth Caritas vs $2,480.49 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $139.70 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $139.70 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $143.00 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $144.10 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $149.82 | ↓ -90% |
| Highmark BCBS of PA | Medicare | $156.06 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $160.23 | ↓ -89% |
| Aetna | Medicare | $241.99 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $304.82 | ↓ -79% |
| Prime Net | Managed Medicare | $401.94 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $487.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $487.20 | ↓ -67% |
| Cigna | Medicare | $541.96 | ↓ -63% |
| Geisinger | Medicare | $541.96 | ↓ -63% |
| United Healthcare | Medicare | $552.28 | ↓ -63% |
| UPMC Health Plan | CHIP | $594.44 | ↓ -60% |
| Keystone Autism Services | ACAP | $825.84 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $998.76 | ↓ -32% |
| Aetna | ACO | $1,006.07 | ↓ -32% |
| Keystone Health Plan | Commercial | $1,132.40 | ↓ -23% |
| Capital Blue Cross | Commercial | $1,132.40 | ↓ -23% |
| Capital Blue Cross | CHIP | $1,132.40 | ↓ -23% |
| Prime Net | GateKeeper/NonGateKeeper | $1,161.97 | ↓ -21% |
| Aetna | Commercial | $1,169.28 | ↓ -21% |
| Geisinger | Commercial | $1,595.09 | ↑ +8% |
| Wellspan Population Health | Commercial | $1,705.20 | ↑ +16% |
| UPMC Health Plan | Commercial | $1,705.20 | ↑ +16% |
| Highmark BCBS of PA | Medicaid | $1,709.70 | ↑ +16% |
| United Healthcare | Commercial | $1,792.90 | ↑ +22% |
| Prime Net | FH-Medical Rental | $1,814.82 | ↑ +23% |
| Highmark BCBS of PA | Commercial | $1,819.02 | ↑ +23% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,070.60 | ↑ +40% |
| Cigna | Commercial | $2,480.49 | ↑ +68% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cerebrospinal fld flw imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,475.40 | $139.70 – $2,070.60 |
| UPMC Community Osteopathic | Harrisburg | $1,475.40 | $139.70 – $2,070.60 |
| UPMC Hamot | Erie | $1,068.00 | $149.71 – $700.71 |
| UPMC Hanover | Hanover | $1,475.40 | $139.70 – $822.74 |
| UPMC Kane | Kane | $628.20 | $149.71 – $1,121.51 |
| UPMC Lititz | Lititz | $1,475.40 | $139.70 – $827.18 |
| UPMC Magee | Pittsburgh | $1,097.40 | $149.71 – $554.23 |
| UPMC Mercy | Pittsburgh | $1,608.00 | $149.71 – $564.50 |