CT guid cryo ablat intramuscular at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
not published by hospital
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.
not published by hospital
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.
$15.15 with Highmark BCBS of PA vs $9,539.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $15.15 | — |
| UPMC Health Plan | CHIP | $47.66 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $165.43 | — |
| Aetna | Medicare | $239.91 | — |
| Cigna | Medicare | $241.52 | — |
| Geisinger | Medicare | $241.52 | — |
| United Healthcare | Medicare | $246.12 | — |
| Keystone Autism Services | ACAP | $368.03 | — |
| Highmark BCBS of PA | Medicaid | $761.92 | — |
| Highmark BCBS of PA | Commercial | $810.64 | — |
| Keystone Health Plan | Commercial | $5,588.10 | — |
| Capital Blue Cross | Commercial | $5,588.10 | — |
| Capital Blue Cross | CHIP | $5,588.10 | — |
| Cigna | Commercial | $9,539.00 | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
CT guid cryo ablat intramuscular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,064.40 | $18.59 – $5,419.20 |
| UPMC East | Monroeville | $5,122.20 | $18.77 – $6,829.60 |
| UPMC Hamot | Erie | $109.20 | $18.59 – $332.62 |
| UPMC Muncy | Muncy | $4,267.80 | $161.64 – $161.64 |
| Uniontown Hospital | Uniontown | $308.00 | $239.08 – $557.06 |
| UPMC Mercy | Pittsburgh | not published | $18.59 – $251.57 |
| UPMC Williamsport | Williamsport | not published | $161.64 – $247.00 |