Coveredge 32 lead kit 40cm 48 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$4,535.40
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.
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What you pay up front if you don't use insurance.
$7,559.00
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.
$346.00 with Highmark BCBS of PA vs $6,425.15 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $346.00 | ↓ -92% |
| Aetna | Medicare | $767.94 | ↓ -83% |
| Prime Net | Managed Medicare | $1,247.23 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,511.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,511.80 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $2,494.47 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,519.41 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,872.42 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $3,099.19 | ↓ -32% |
| Aetna | ACO | $3,121.87 | ↓ -31% |
| UPMC Health Plan | CHIP | $3,567.09 | ↓ -21% |
| Prime Net | GateKeeper/NonGateKeeper | $3,605.64 | ↓ -21% |
| Aetna | Commercial | $3,628.32 | ↓ -20% |
| Capital Blue Cross | CHIP | $4,576.22 | ↑ +1% |
| Capital Blue Cross | Commercial | $4,576.22 | ↑ +1% |
| United Healthcare | Commercial | $4,656.34 | ↑ +3% |
| Keystone Health Plan | Commercial | $4,805.26 | ↑ +6% |
| Geisinger | Commercial | $4,949.63 | ↑ +9% |
| Wellspan Population Health | Commercial | $5,291.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $5,291.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,631.45 | ↑ +24% |
| Cigna | Commercial | $5,896.02 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,425.15 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Coveredge 32 lead kit 40cm 48 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,909.80 | $27.74 – $3,567.09 |
| UPMC Bedford | Everett | $526.20 | $25.65 – $3,567.09 |
| UPMC Cole | Coudersport | $19,597.20 | $3,567.09 – $26,129.60 |
| UPMC Community Osteopathic | Harrisburg | $4,535.40 | $1,511.80 – $6,425.15 |
| UPMC East | Monroeville | $6,440.40 | $428.56 – $3,567.09 |
| UPMC Hamot | Erie | $526.20 | $424.51 – $424.51 |
| UPMC Northwest | Seneca | $3,053.40 | $1,101.77 – $4,316.49 |
| UPMC Horizon-Greenville | Greenville | $4,086.60 | $1,081.90 – $3,567.09 |