Cltx lunate dislc w/mnpj at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,055.00
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.
$3,425.00
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.
$289.56 with AmeriHealth Caritas vs $5,588.10 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $289.56 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $289.56 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $296.40 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $310.54 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $332.10 | ↓ -84% |
| Highmark BCBS of PA | Medicare | $444.23 | ↓ -78% |
| Prime Net | Managed Medicare | $565.12 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $685.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $685.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $981.27 | ↓ -52% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $1,404.25 | ↓ -32% |
| Aetna | ACO | $1,414.53 | ↓ -31% |
| Aetna | Medicare | $1,600.62 | ↓ -22% |
| Cigna | Medicare | $1,611.36 | ↓ -22% |
| Geisinger | Medicare | $1,611.36 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $1,633.72 | ↓ -21% |
| United Healthcare | Medicare | $1,642.05 | ↓ -20% |
| Aetna | Commercial | $1,644.00 | ↓ -20% |
| UPMC Health Plan | CHIP | $1,730.46 | ↓ -16% |
| Geisinger | Commercial | $2,242.69 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,397.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,397.50 | ↑ +17% |
| Keystone Autism Services | ACAP | $2,455.41 | ↑ +19% |
| Prime Net | FH-Medical Rental | $2,551.62 | ↑ +24% |
| Cigna | Commercial | $2,671.50 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,911.25 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $5,083.31 | ↑ +147% |
| Highmark BCBS of PA | Commercial | $5,408.34 | ↑ +163% |
| Capital Blue Cross | CHIP | $5,588.10 | ↑ +172% |
| Capital Blue Cross | Commercial | $5,588.10 | ↑ +172% |
| Keystone Health Plan | Commercial | $5,588.10 | ↑ +172% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Cltx lunate dislc w/mnpj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,514.00 | $228.00 – $3,352.00 |
| UPMC Bedford | Everett | $2,893.80 | $239.40 – $4,340.70 |
| UPMC Carlisle | Carlisle | $2,055.00 | $289.56 – $2,911.25 |
| UPMC Cole | Coudersport | $1,703.40 | $239.40 – $2,271.20 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $289.56 – $2,911.25 |
| UPMC Hamot | Erie | $3,191.40 | $250.80 – $2,219.16 |
| UPMC Hanover | Hanover | $2,055.00 | $289.56 – $2,446.19 |
| UPMC Lititz | Lititz | $2,055.00 | $289.56 – $2,459.41 |