Chromosome karyotype study at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$120.60
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.
?
What you pay up front if you don't use insurance.
$201.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$33.16 with Prime Net vs $181.54 with Capital Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $33.16 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $34.61 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.68 | ↓ -71% |
| Aetna | Medicare | $34.91 | ↓ -71% |
| Cigna | Medicare | $35.14 | ↓ -71% |
| Geisinger | Medicare | $35.14 | ↓ -71% |
| United Healthcare | Medicare | $35.81 | ↓ -70% |
| Highmark BCBS of PA | Medicare | $39.53 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $40.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $40.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.04 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $45.08 | ↓ -63% |
| United Healthcare Community Plan for Families | PA Medicaid | $45.43 | ↓ -62% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.23 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $50.51 | ↓ -58% |
| Keystone Autism Services | ACAP | $53.55 | ↓ -56% |
| Prime Net | ACO/Legacy Commercial | $82.41 | ↓ -32% |
| Aetna | ACO | $83.01 | ↓ -31% |
| Cigna | Commercial | $87.04 | ↓ -28% |
| Prime Net | GateKeeper/NonGateKeeper | $95.88 | ↓ -20% |
| Aetna | Commercial | $96.48 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $110.87 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $117.95 | ↓ -2% |
| UPMC Health Plan | CHIP | $129.81 | ↑ +8% |
| Geisinger | Commercial | $131.61 | ↑ +9% |
| Wellspan Population Health | Commercial | $140.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $140.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $149.75 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $170.85 | ↑ +42% |
| Capital Blue Cross | CHIP | $181.54 | ↑ +51% |
| Keystone Health Plan | Commercial | $181.54 | ↑ +51% |
| Capital Blue Cross | Commercial | $181.54 | ↑ +51% |
Visitor-reported prices
Comments
Chromosome karyotype study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $120.60 | $27.54 – $170.85 |
| UPMC Cole | Coudersport | $115.80 | $21.76 – $154.40 |
| UPMC Community Osteopathic | Harrisburg | $120.60 | $33.14 – $170.85 |
| UPMC Hamot | Erie | $274.80 | $33.08 – $48.50 |
| UPMC Hanover | Hanover | $120.60 | $33.14 – $53.55 |
| UPMC Kane | Kane | $136.80 | $33.08 – $144.46 |
| UPMC Lititz | Lititz | $120.60 | $33.14 – $53.55 |
| UPMC Magee | Pittsburgh | $122.40 | $31.32 – $59.10 |