Clip ligating vesolock lg at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,380.60
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.
$2,301.00
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.
$44.22 with Prime Net vs $1,387.74 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $44.22 | ↓ -97% |
| Capital Blue Cross | Medicare Advantage | $53.60 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $53.60 | ↓ -96% |
| Prime Net | ACO/Legacy Commercial | $109.88 | ↓ -92% |
| Aetna | ACO | $110.68 | ↓ -92% |
| Aetna | Medicare | $114.86 | ↓ -92% |
| Prime Net | GateKeeper/NonGateKeeper | $127.84 | ↓ -91% |
| Aetna | Commercial | $128.64 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $147.40 | ↓ -89% |
| Capital Blue Cross | Commercial | $162.25 | ↓ -88% |
| Capital Blue Cross | CHIP | $162.25 | ↓ -88% |
| Keystone Health Plan | Commercial | $170.37 | ↓ -88% |
| Geisinger | Commercial | $175.49 | ↓ -87% |
| Wellspan Population Health | Commercial | $187.60 | ↓ -86% |
| UPMC Health Plan | Commercial | $187.60 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $191.94 | ↓ -86% |
| United Healthcare | Commercial | $197.25 | ↓ -86% |
| Prime Net | FH-Medical Rental | $199.66 | ↓ -86% |
| Cigna | Commercial | $209.04 | ↓ -85% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $227.80 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $257.97 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $294.12 | ↓ -79% |
| UPMC Health Plan | CHIP | $1,387.74 | ↑ +1% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Clip ligating vesolock lg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,058.40 | $235.49 – $1,387.74 |
| UPMC Community Osteopathic | Harrisburg | $1,380.60 | $53.60 – $1,387.74 |
| UPMC East | Monroeville | $1,324.80 | $7.50 – $1,387.74 |
| UPMC Hamot | Erie | $2,608.20 | $235.49 – $235.49 |
| UPMC Northwest | Seneca | $699.00 | $611.19 – $1,679.28 |
| UPMC Jameson | New Castle | $778.20 | $114.86 – $1,387.74 |
| UPMC Magee | Pittsburgh | $3,121.20 | $126.35 – $1,387.74 |
| UPMC McKeesport | Mckeesport | $1,151.40 | $126.35 – $1,387.74 |