Crystal identification light microscopy at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$52.80
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.
$88.00
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.
$6.32 with United Healthcare vs $74.80 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 |
|---|---|---|---|
| United Healthcare | Commercial | $6.32 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.50 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $7.58 | ↓ -86% |
| Aetna | Medicare | $7.65 | ↓ -86% |
| Cigna | Medicare | $7.70 | ↓ -85% |
| Geisinger | Medicare | $7.70 | ↓ -85% |
| United Healthcare | Medicare | $7.84 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $9.53 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $9.75 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.82 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.21 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $10.92 | ↓ -79% |
| Highmark BCBS of PA | Medicare | $11.26 | ↓ -79% |
| Keystone Autism Services | ACAP | $11.73 | ↓ -78% |
| Prime Net | Managed Medicare | $14.52 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $17.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $17.60 | ↓ -67% |
| Cigna | Commercial | $19.04 | ↓ -64% |
| Highmark BCBS of PA | Medicaid | $24.28 | ↓ -54% |
| Highmark BCBS of PA | Commercial | $25.83 | ↓ -51% |
| UPMC Health Plan | CHIP | $30.46 | ↓ -42% |
| Prime Net | ACO/Legacy Commercial | $36.08 | ↓ -32% |
| Aetna | ACO | $36.34 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $41.98 | ↓ -20% |
| Aetna | Commercial | $42.24 | ↓ -20% |
| Capital Blue Cross | Commercial | $51.73 | ↓ -2% |
| Keystone Health Plan | Commercial | $51.73 | ↓ -2% |
| Capital Blue Cross | CHIP | $51.73 | ↓ -2% |
| Geisinger | Commercial | $57.62 | ↑ +9% |
| UPMC Health Plan | Commercial | $61.60 | ↑ +17% |
| Wellspan Population Health | Commercial | $61.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $65.56 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $74.80 | ↑ +42% |
Visitor-reported prices
Comments
Crystal identification light microscopy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $62.40 | $7.24 – $83.20 |
| UPMC Bedford | Everett | $33.00 | $2.64 – $49.50 |
| UPMC Carlisle | Carlisle | $52.80 | $6.32 – $74.80 |
| UPMC Cole | Coudersport | $52.20 | $4.76 – $69.60 |
| UPMC Community Osteopathic | Harrisburg | $52.80 | $7.26 – $74.80 |
| UPMC East | Monroeville | $99.00 | $7.24 – $132.00 |
| UPMC Hamot | Erie | $102.60 | $7.24 – $13.81 |
| UPMC Northwest | Seneca | $36.00 | $6.65 – $8.62 |