Clsd tx vert body fx without manip req &w/csting/bracing at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$759.00
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.
$1,265.00
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.
$208.72 with Prime Net vs $2,966.25 with Keystone 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 | $208.72 | ↓ -73% |
| Aetna | Medicare | $239.91 | ↓ -68% |
| Geisinger | Medicare | $241.52 | ↓ -68% |
| Cigna | Medicare | $241.52 | ↓ -68% |
| United Healthcare | Medicare | $246.12 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $250.19 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $250.19 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $253.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $253.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicaid | $256.10 | ↓ -66% |
| United Healthcare Community Plan for Families | PA Medicaid | $258.07 | ↓ -66% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $268.31 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $286.95 | ↓ -62% |
| Keystone Autism Services | ACAP | $368.03 | ↓ -52% |
| Highmark BCBS of PA | Medicare | $444.23 | ↓ -41% |
| Prime Net | ACO/Legacy Commercial | $518.65 | ↓ -32% |
| Aetna | ACO | $522.45 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $603.40 | ↓ -21% |
| Aetna | Commercial | $607.20 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $761.92 | ↑ +0% |
| Highmark BCBS of PA | Commercial | $810.64 | ↑ +7% |
| Geisinger | Commercial | $828.32 | ↑ +9% |
| UPMC Work Partners | Workers Comp | $862.24 | ↑ +14% |
| UPMC Health Plan | Commercial | $885.50 | ↑ +17% |
| Wellspan Population Health | Commercial | $885.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $942.42 | ↑ +24% |
| Cigna | Commercial | $986.70 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,075.25 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,713.99 | ↑ +126% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +291% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +291% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +291% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Clsd tx vert body fx without manip req &w/csting/bracing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $759.00 | $173.31 – $1,075.25 |
| UPMC Cole | Coudersport | $284.40 | $57.93 – $882.91 |
| UPMC Community Osteopathic | Harrisburg | $759.00 | $233.61 – $1,713.99 |
| UPMC Hanover | Hanover | $759.00 | $226.87 – $862.24 |
| UPMC Lititz | Lititz | $759.00 | $228.10 – $923.98 |
| UPMC Somerset | Somerset | $759.00 | $216.70 – $882.91 |
| UPMC Williamsport | Williamsport | $3,355.20 | $216.70 – $1,117.15 |
| Uniontown Hospital | Uniontown | $283.50 | $131.25 – $496.57 |