Clearance of airways at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$325.80
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.
$543.00
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.
$41.91 with Highmark Wholecare (prev Gateway) vs $1,712.48 with UPMC 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 Wholecare (prev Gateway) | Medicaid | $41.91 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $41.91 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $42.90 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $43.23 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $44.95 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $48.07 | ↓ -85% |
| Prime Net | Managed Medicare | $89.59 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $108.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $108.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $156.06 | ↓ -52% |
| United Healthcare | Commercial | $163.00 | ↓ -50% |
| Aetna | Medicare | $203.42 | ↓ -38% |
| Geisinger | Medicare | $204.78 | ↓ -37% |
| Cigna | Medicare | $204.78 | ↓ -37% |
| United Healthcare | Medicare | $208.68 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $222.63 | ↓ -32% |
| Aetna | ACO | $224.26 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $259.01 | ↓ -21% |
| Aetna | Commercial | $260.64 | ↓ -20% |
| Keystone Autism Services | ACAP | $312.05 | ↓ -4% |
| Geisinger | Commercial | $355.56 | ↑ +9% |
| Wellspan Population Health | Commercial | $380.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $380.10 | ↑ +17% |
| Cigna | Commercial | $387.00 | ↑ +19% |
| Prime Net | FH-Medical Rental | $404.54 | ↑ +24% |
| Highmark BCBS of PA | Medicare | $444.23 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $461.55 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $646.02 | ↑ +98% |
| Highmark BCBS of PA | Commercial | $687.32 | ↑ +111% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +302% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +302% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +302% |
| UPMC Health Plan | CHIP | $1,712.48 | ↑ +426% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of airways at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,011.60 | $34.65 – $1,348.80 |
| UPMC Hanover | Hanover | $325.80 | $41.91 – $310.88 |
| UPMC Kane | Kane | $154.20 | $36.30 – $205.23 |
| Uniontown Hospital | Uniontown | $311.50 | not published |