Chylomicron screen, bf - sendout at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$222.60
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.
$371.00
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.
$49.15 with United Healthcare Community Plan for Families vs $315.35 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $49.15 | ↓ -78% |
| United Healthcare | Commercial | $52.84 | ↓ -76% |
| Prime Net | Managed Medicare | $61.22 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $63.60 | ↓ -71% |
| Aetna | Medicare | $64.14 | ↓ -71% |
| Cigna | Medicare | $64.58 | ↓ -71% |
| Geisinger | Medicare | $64.58 | ↓ -71% |
| United Healthcare | Medicare | $65.81 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $74.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $74.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $76.11 | ↓ -66% |
| Keystone Autism Services | ACAP | $98.40 | ↓ -56% |
| Prime Net | ACO/Legacy Commercial | $152.11 | ↓ -32% |
| Aetna | ACO | $153.22 | ↓ -31% |
| Cigna | Commercial | $159.92 | ↓ -28% |
| Prime Net | GateKeeper/NonGateKeeper | $176.97 | ↓ -20% |
| Aetna | Commercial | $178.08 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $203.71 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $204.05 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $216.74 | ↓ -3% |
| Geisinger | Commercial | $242.93 | ↑ +9% |
| Capital Blue Cross | Commercial | $248.52 | ↑ +12% |
| Capital Blue Cross | CHIP | $248.52 | ↑ +12% |
| Keystone Health Plan | Commercial | $248.52 | ↑ +12% |
| UPMC Health Plan | Commercial | $259.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $259.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $264.54 | ↑ +19% |
| Prime Net | FH-Medical Rental | $276.39 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $315.35 | ↑ +42% |
Visitor-reported prices
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Chylomicron screen, bf - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $463.20 | $60.78 – $617.60 |
| UPMC Bedford | Everett | $606.60 | $22.19 – $909.90 |
| UPMC Carlisle | Carlisle | $222.60 | $33.83 – $315.35 |
| UPMC Cole | Coudersport | $321.00 | $39.98 – $428.00 |
| UPMC Community Osteopathic | Harrisburg | $222.60 | $49.15 – $315.35 |
| UPMC East | Monroeville | $721.80 | $60.78 – $962.40 |
| UPMC Hamot | Erie | $198.00 | $47.23 – $93.39 |
| UPMC Northwest | Seneca | $526.20 | $55.77 – $66.42 |