Clsd tx trimall ankle fx without manip 27816 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$488.40
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.
?
What you pay up front if you don't use insurance.
$814.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$134.31 with Prime Net vs $1,712.37 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $134.31 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $162.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $162.80 | ↓ -67% |
| Aetna | Medicare | $239.91 | ↓ -51% |
| Cigna | Medicare | $241.52 | ↓ -51% |
| Geisinger | Medicare | $241.52 | ↓ -51% |
| United Healthcare | Medicare | $246.12 | ↓ -50% |
| Prime Net | ACO/Legacy Commercial | $333.74 | ↓ -32% |
| Aetna | ACO | $336.18 | ↓ -31% |
| Keystone Autism Services | ACAP | $368.03 | ↓ -25% |
| Prime Net | GateKeeper/NonGateKeeper | $388.28 | ↓ -20% |
| Aetna | Commercial | $390.72 | ↓ -20% |
| Highmark BCBS of PA | Medicare | $444.23 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $447.70 | ↓ -8% |
| Geisinger | Commercial | $533.01 | ↑ +9% |
| Wellspan Population Health | Commercial | $569.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $569.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $606.43 | ↑ +24% |
| Cigna | Commercial | $634.92 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $691.90 | ↑ +42% |
| UPMC Work Partners | Workers Comp | $759.89 | ↑ +56% |
| Highmark BCBS of PA | Medicaid | $761.92 | ↑ +56% |
| Highmark BCBS of PA | Commercial | $810.64 | ↑ +66% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +108% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +168% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +168% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +168% |
| UPMC Health Plan | CHIP | $1,712.37 | ↑ +251% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx trimall ankle fx without manip 27816 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,505.20 | $233.23 – $4,673.60 |
| UPMC Bedford | Everett | $3,647.40 | $82.51 – $5,471.10 |
| UPMC Carlisle | Carlisle | $488.40 | $111.52 – $1,016.56 |
| UPMC Cole | Coudersport | $1,266.00 | $66.81 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $488.40 | $162.80 – $1,712.37 |
| UPMC East | Monroeville | $2,812.80 | $229.32 – $3,750.40 |
| UPMC Hamot | Erie | $2,223.60 | $263.94 – $755.74 |
| UPMC Hanover | Hanover | $488.40 | $226.87 – $1,712.37 |