#covid19rsv-rsv at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$390.60
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.
$651.00
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.
$44.80 with Highmark BCBS of PA vs $617.46 with United Healthcare — 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 | $44.80 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $69.33 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $72.61 | ↓ -81% |
| Aetna | Medicare | $73.22 | ↓ -81% |
| Geisinger | Medicare | $73.71 | ↓ -81% |
| Cigna | Medicare | $73.71 | ↓ -81% |
| United Healthcare | Medicare | $75.11 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $88.05 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $90.13 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $90.82 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $94.43 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $100.99 | ↓ -74% |
| Prime Net | Managed Medicare | $107.42 | ↓ -72% |
| Keystone Autism Services | ACAP | $112.32 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $130.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $130.20 | ↓ -67% |
| Cigna | Commercial | $182.52 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $232.53 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $247.40 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $266.91 | ↓ -32% |
| Aetna | ACO | $268.86 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $310.53 | ↓ -20% |
| Aetna | Commercial | $312.48 | ↓ -20% |
| UPMC Health Plan | CHIP | $338.74 | ↓ -13% |
| Geisinger | Commercial | $426.27 | ↑ +9% |
| Capital Blue Cross | Commercial | $429.37 | ↑ +10% |
| Keystone Health Plan | Commercial | $429.37 | ↑ +10% |
| Capital Blue Cross | CHIP | $429.37 | ↑ +10% |
| UPMC Health Plan | Commercial | $455.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $455.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $485.00 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $553.35 | ↑ +42% |
| United Healthcare | Commercial | $617.46 | ↑ +58% |
Visitor-reported prices
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#covid19rsv-rsv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $390.60 | $69.33 – $553.35 |
| UPMC Community Osteopathic | Harrisburg | $390.60 | $69.33 – $553.35 |
| UPMC Hamot | Erie | $306.00 | $54.96 – $96.36 |
| UPMC Hanover | Hanover | $390.60 | $69.33 – $112.32 |
| UPMC Kane | Kane | $220.20 | $69.38 – $302.98 |
| UPMC Lititz | Lititz | $390.60 | $69.33 – $112.32 |
| UPMC Somerset | Somerset | $390.60 | $54.41 – $96.36 |
| Uniontown Hospital | Uniontown | $126.50 | $66.34 – $145.81 |