Change ureter stent percut at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$4,696.80
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.
$7,828.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $7,105.35 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 | $1,016.56 | ↓ -78% |
| Prime Net | Managed Medicare | $1,291.62 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,565.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,565.60 | ↓ -67% |
| Aetna | Medicare | $2,048.79 | ↓ -56% |
| Cigna | Medicare | $2,062.54 | ↓ -56% |
| Geisinger | Medicare | $2,062.54 | ↓ -56% |
| United Healthcare | Medicare | $2,101.82 | ↓ -55% |
| Highmark BCBS of PA | Medicare | $2,207.28 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $2,558.69 | ↓ -46% |
| UPMC Health Plan | CHIP | $2,689.96 | ↓ -43% |
| Keystone Autism Services | ACAP | $3,142.91 | ↓ -33% |
| Prime Net | ACO/Legacy Commercial | $3,209.48 | ↓ -32% |
| Aetna | ACO | $3,232.96 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $3,733.96 | ↓ -20% |
| Aetna | Commercial | $3,757.44 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $4,305.40 | ↓ -8% |
| Cigna | Commercial | $5,035.00 | ↑ +7% |
| Geisinger | Commercial | $5,125.77 | ↑ +9% |
| Wellspan Population Health | Commercial | $5,479.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $5,479.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,831.86 | ↑ +24% |
| Highmark BCBS of PA | Medicaid | $6,506.61 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,653.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $6,922.66 | ↑ +47% |
| Capital Blue Cross | CHIP | $7,073.85 | ↑ +51% |
| Capital Blue Cross | Commercial | $7,073.85 | ↑ +51% |
| Keystone Health Plan | Commercial | $7,105.35 | ↑ +51% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Change ureter stent percut at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,696.80 | $1,016.56 – $6,653.80 |
| UPMC Community Osteopathic | Harrisburg | $4,696.80 | $1,016.56 – $6,653.80 |
| UPMC Hamot | Erie | $14,870.40 | $2,254.02 – $2,840.52 |
| UPMC Hanover | Hanover | $4,696.80 | $1,016.56 – $3,131.10 |
| UPMC Lititz | Lititz | $4,696.80 | $1,016.56 – $3,148.02 |
| UPMC Magee | Pittsburgh | $11,472.00 | $1,665.47 – $2,733.97 |
| UPMC McKeesport | Mckeesport | $14,328.60 | $965.12 – $2,733.97 |
| UPMC Presbyterian | Pittsburgh | $11,414.40 | $931.20 – $3,405.13 |