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Cholesterol (Lipid) Test at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$87.60
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.
$146.00
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.
$13.85 with UPMC Work Partners vs $124.10 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $13.85 | ↓ -84% |
| Aetna | Medicare | $13.97 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.00 | ↓ -84% |
| Cigna | Medicare | $14.06 | ↓ -84% |
| Geisinger | Medicare | $14.06 | ↓ -84% |
| United Healthcare | Medicare | $14.33 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.78 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $18.20 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $18.34 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.07 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $20.39 | ↓ -77% |
| Keystone Autism Services | ACAP | $21.42 | ↓ -76% |
| Highmark BCBS of PA | Medicare | $22.19 | ↓ -75% |
| Prime Net | Managed Medicare | $24.09 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $29.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $29.20 | ↓ -67% |
| Cigna | Commercial | $34.80 | ↓ -60% |
| Highmark BCBS of PA | Medicaid | $44.35 | ↓ -49% |
| Highmark BCBS of PA | Commercial | $47.19 | ↓ -46% |
| Prime Net | ACO/Legacy Commercial | $59.86 | ↓ -32% |
| Aetna | ACO | $60.30 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $69.64 | ↓ -21% |
| Aetna | Commercial | $70.08 | ↓ -20% |
| UPMC Health Plan | CHIP | $70.39 | ↓ -20% |
| United Healthcare | Commercial | $70.82 | ↓ -19% |
| Geisinger | Commercial | $95.60 | ↑ +9% |
| Capital Blue Cross | CHIP | $96.96 | ↑ +11% |
| Keystone Health Plan | Commercial | $96.96 | ↑ +11% |
| Capital Blue Cross | Commercial | $96.96 | ↑ +11% |
| Wellspan Population Health | Commercial | $102.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $102.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $108.77 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $124.10 | ↑ +42% |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $302.40 | $12.44 – $428.40 |
| UPMC Altoona | Altoona | $143.40 | $13.24 – $191.20 |
| UPMC Bedford | Everett | $66.60 | $4.83 – $99.90 |
| UPMC Cole | Coudersport | $97.80 | $8.70 – $130.40 |
| UPMC East | Monroeville | $212.40 | $13.24 – $283.20 |
| UPMC Hamot | Erie | $413.40 | $13.24 – $482.30 |
| UPMC Hanover | Hanover | $87.60 | $13.26 – $127.02 |
| UPMC Horizon-Greenville | Greenville | $86.40 | $11.99 – $122.40 |