Closure paravalvlr leak pq at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$5,734.80
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.
$9,558.00
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.
$15.15 with Highmark BCBS of PA vs $9,539.00 with Cigna — 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 BCBS of PA | Medicare | $15.15 | ↓ -100% |
| UPMC Health Plan | CHIP | $48.10 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $462.29 | ↓ -92% |
| Aetna | Medicare | $618.34 | ↓ -89% |
| Cigna | Medicare | $622.49 | ↓ -89% |
| Geisinger | Medicare | $622.49 | ↓ -89% |
| United Healthcare | Medicare | $634.35 | ↓ -89% |
| Keystone Autism Services | ACAP | $948.56 | ↓ -83% |
| Prime Net | Managed Medicare | $1,577.07 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,911.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,911.60 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $1,963.76 | ↓ -66% |
| Highmark BCBS of PA | Commercial | $2,089.32 | ↓ -64% |
| Keystone Health Plan | Commercial | $2,577.75 | ↓ -55% |
| Capital Blue Cross | Commercial | $2,577.75 | ↓ -55% |
| Capital Blue Cross | CHIP | $2,577.75 | ↓ -55% |
| Prime Net | ACO/Legacy Commercial | $3,918.78 | ↓ -32% |
| Aetna | ACO | $3,947.45 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $4,559.17 | ↓ -20% |
| Aetna | Commercial | $4,587.84 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $5,256.90 | ↓ -8% |
| Geisinger | Commercial | $6,258.58 | ↑ +9% |
| Wellspan Population Health | Commercial | $6,690.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $6,690.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,120.71 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,124.30 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +66% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,757.60 | $18.59 – $9,891.20 |
| UPMC Carlisle | Carlisle | $5,734.80 | $48.10 – $8,124.30 |
| UPMC Community Osteopathic | Harrisburg | $5,734.80 | $48.10 – $8,124.30 |
| UPMC Hamot | Erie | $799.80 | $18.59 – $857.29 |
| UPMC Hanover | Hanover | $5,734.80 | $48.10 – $944.99 |
| UPMC Lititz | Lititz | $5,734.80 | $48.10 – $950.10 |
| UPMC Presbyterian | Pittsburgh | $14,788.80 | $18.77 – $648.38 |
| UPMC Somerset | Somerset | $5,734.80 | $18.40 – $636.54 |