Change of windpipe airway 31502 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$463.80
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.
$773.00
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.
$75.75 with Highmark BCBS of PA vs $1,310.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $75.75 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $124.62 | ↓ -73% |
| Prime Net | Managed Medicare | $127.55 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $154.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $154.60 | ↓ -67% |
| United Healthcare | Commercial | $163.00 | ↓ -65% |
| United Healthcare Community Plan for Families | PA Medicaid | $166.08 | ↓ -64% |
| Aetna | Medicare | $232.26 | ↓ -50% |
| Geisinger | Medicare | $233.81 | ↓ -50% |
| Cigna | Medicare | $233.81 | ↓ -50% |
| United Healthcare | Medicare | $238.27 | ↓ -49% |
| UPMC Health Plan | CHIP | $282.41 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $316.93 | ↓ -32% |
| Aetna | ACO | $319.25 | ↓ -31% |
| Keystone Autism Services | ACAP | $356.29 | ↓ -23% |
| Prime Net | GateKeeper/NonGateKeeper | $368.72 | ↓ -21% |
| Aetna | Commercial | $371.04 | ↓ -20% |
| Cigna | Commercial | $387.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $425.15 | ↓ -8% |
| Geisinger | Commercial | $506.16 | ↑ +9% |
| Wellspan Population Health | Commercial | $541.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $541.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $575.88 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $657.05 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $737.61 | ↑ +59% |
| Highmark BCBS of PA | Commercial | $784.77 | ↑ +69% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +183% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +183% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +183% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $454.20 | $92.94 – $605.60 |
| UPMC Carlisle | Carlisle | $463.80 | $105.90 – $657.05 |
| UPMC Cole | Coudersport | $220.20 | $10.53 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $463.80 | $124.62 – $657.05 |
| UPMC East | Monroeville | $319.20 | $93.83 – $425.60 |
| UPMC Hamot | Erie | $380.40 | $92.94 – $322.01 |
| UPMC Northwest | Seneca | $580.20 | $119.08 – $239.10 |
| UPMC Hanover | Hanover | $463.80 | $124.62 – $354.94 |