Contrast x-ray of elbow at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$814.20
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.
$1,357.00
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.
$36.02 with United Healthcare Community Plan for Families vs $2,006.79 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $36.02 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $59.05 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $59.05 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $60.45 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $63.33 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $67.73 | ↓ -92% |
| Aetna | Medicare | $99.54 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $100.67 | ↓ -88% |
| Prime Net | Managed Medicare | $223.91 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $265.81 | ↓ -67% |
| Premier Comp Solutions | Worker's Comp | $265.81 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $271.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $271.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $399.17 | ↓ -51% |
| Capital Blue Cross | CHIP | $418.81 | ↓ -49% |
| Keystone Health Plan | Commercial | $418.81 | ↓ -49% |
| Capital Blue Cross | Commercial | $418.81 | ↓ -49% |
| Prime Net | ACO/Legacy Commercial | $556.37 | ↓ -32% |
| Aetna | ACO | $560.44 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $647.29 | ↓ -20% |
| Aetna | Commercial | $651.36 | ↓ -20% |
| Geisinger | Commercial | $888.56 | ↑ +9% |
| Wellspan Population Health | Commercial | $949.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $949.90 | ↑ +17% |
| United Healthcare | Commercial | $998.75 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,010.97 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,153.45 | ↑ +42% |
| Cigna | Commercial | $2,006.79 | ↑ +146% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $814.20 | $36.02 – $2,006.79 |
| UPMC Community Osteopathic | Harrisburg | $814.20 | $36.02 – $1,153.45 |
| UPMC Hanover | Hanover | $814.20 | $36.02 – $2,006.79 |
| UPMC Kane | Kane | $857.40 | $245.64 – $347.91 |
| UPMC Lititz | Lititz | $814.20 | $36.02 – $2,006.79 |
| UPMC McKeesport | Mckeesport | $2,649.60 | $112.72 – $374.53 |
| UPMC Mercy | Pittsburgh | $793.80 | $110.13 – $374.53 |
| UPMC Muncy | Muncy | $718.20 | $35.20 – $286.95 |