Clsd tx hip disloc without anes 27265 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,272.60
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.
$2,121.00
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.
$239.91 with Aetna vs $1,802.85 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 |
|---|---|---|---|
| Aetna | Medicare | $239.91 | ↓ -81% |
| Cigna | Medicare | $241.52 | ↓ -81% |
| Geisinger | Medicare | $241.52 | ↓ -81% |
| United Healthcare | Medicare | $246.12 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $300.99 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $300.99 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $308.10 | ↓ -76% |
| United Healthcare Community Plan for Families | PA Medicaid | $310.47 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $322.79 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $345.21 | ↓ -73% |
| Prime Net | Managed Medicare | $349.96 | ↓ -73% |
| Keystone Autism Services | ACAP | $368.03 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $424.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $424.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $444.23 | ↓ -65% |
| Highmark BCBS of PA | Medicaid | $761.92 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $810.64 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $869.61 | ↓ -32% |
| Aetna | ACO | $875.97 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $917.80 | ↓ -28% |
| Prime Net | GateKeeper/NonGateKeeper | $1,011.72 | ↓ -20% |
| Aetna | Commercial | $1,018.08 | ↓ -20% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +3% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +3% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +3% |
| Geisinger | Commercial | $1,388.83 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,484.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,484.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,580.14 | ↑ +24% |
| Cigna | Commercial | $1,654.38 | ↑ +30% |
| UPMC Health Plan | CHIP | $1,730.79 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,802.85 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Clsd tx hip disloc without anes 27265 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,180.80 | $233.23 – $1,574.40 |
| UPMC Bedford | Everett | $3,653.40 | $82.51 – $5,480.10 |
| UPMC Carlisle | Carlisle | $1,272.60 | $227.18 – $1,802.85 |
| UPMC Cole | Coudersport | $1,272.60 | $110.33 – $1,080.46 |
| UPMC Community Osteopathic | Harrisburg | $1,272.60 | $233.61 – $1,802.85 |
| UPMC East | Monroeville | $2,281.20 | $229.32 – $3,041.60 |
| UPMC Hamot | Erie | $2,334.00 | $260.70 – $1,107.39 |
| UPMC Northwest | Seneca | $1,632.60 | $207.41 – $877.01 |