Culture fungi definitive id mold at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$57.00
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.
$95.00
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.
$10.67 with UPMC Work Partners vs $80.75 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $10.67 | ↓ -81% |
| Aetna | Medicare | $10.76 | ↓ -81% |
| Geisinger | Medicare | $10.84 | ↓ -81% |
| Cigna | Medicare | $10.84 | ↓ -81% |
| United Healthcare | Medicare | $11.04 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.42 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.50 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $14.85 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.96 | ↓ -74% |
| United Healthcare | Commercial | $15.29 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.55 | ↓ -73% |
| Prime Net | Managed Medicare | $15.68 | ↓ -72% |
| Keystone Autism Services | ACAP | $16.51 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $16.63 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $19.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $19.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $22.35 | ↓ -61% |
| Cigna | Commercial | $26.84 | ↓ -53% |
| UPMC Health Plan | CHIP | $31.53 | ↓ -45% |
| Highmark BCBS of PA | Medicaid | $34.18 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $36.37 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $38.95 | ↓ -32% |
| Aetna | ACO | $39.23 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $45.31 | ↓ -21% |
| Aetna | Commercial | $45.60 | ↓ -20% |
| Geisinger | Commercial | $62.21 | ↑ +9% |
| Wellspan Population Health | Commercial | $66.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $66.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $70.78 | ↑ +24% |
| Capital Blue Cross | Commercial | $74.67 | ↑ +31% |
| Capital Blue Cross | CHIP | $74.67 | ↑ +31% |
| Keystone Health Plan | Commercial | $74.67 | ↑ +31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $80.75 | ↑ +42% |
Visitor-reported prices
Comments
Culture fungi definitive id mold at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $137.40 | $10.20 – $183.20 |
| UPMC Carlisle | Carlisle | $57.00 | $10.22 – $80.75 |
| UPMC Community Osteopathic | Harrisburg | $57.00 | $10.22 – $80.75 |
| UPMC East | Monroeville | $213.00 | $8.67 – $284.00 |
| UPMC Hamot | Erie | $177.00 | $10.20 – $27.42 |
| UPMC Northwest | Seneca | $70.80 | $8.75 – $13.13 |
| UPMC Hanover | Hanover | $57.00 | $10.22 – $16.51 |
| UPMC Horizon-Greenville | Greenville | $81.00 | $8.78 – $19.37 |