Culture fungi other (except blood) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$46.80
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.
$78.00
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.
$8.69 with UPMC Work Partners vs $66.30 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 | $8.69 | ↓ -81% |
| Aetna | Medicare | $8.77 | ↓ -81% |
| Cigna | Medicare | $8.83 | ↓ -81% |
| Geisinger | Medicare | $8.83 | ↓ -81% |
| United Healthcare | Medicare | $9.00 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.70 | ↓ -79% |
| United Healthcare | Commercial | $11.41 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.32 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $12.61 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.71 | ↓ -73% |
| Prime Net | Managed Medicare | $12.87 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.21 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $13.24 | ↓ -72% |
| Keystone Autism Services | ACAP | $13.46 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $14.13 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $15.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $15.60 | ↓ -67% |
| Cigna | Commercial | $21.88 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $27.86 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $29.64 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $31.98 | ↓ -32% |
| Aetna | ACO | $32.21 | ↓ -31% |
| UPMC Health Plan | CHIP | $37.02 | ↓ -21% |
| Prime Net | GateKeeper/NonGateKeeper | $37.21 | ↓ -20% |
| Aetna | Commercial | $37.44 | ↓ -20% |
| Geisinger | Commercial | $51.07 | ↑ +9% |
| Wellspan Population Health | Commercial | $54.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $54.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $58.11 | ↑ +24% |
| Capital Blue Cross | Commercial | $60.74 | ↑ +30% |
| Capital Blue Cross | CHIP | $60.74 | ↑ +30% |
| Keystone Health Plan | Commercial | $60.74 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $66.30 | ↑ +42% |
Visitor-reported prices
Comments
Culture fungi other (except blood) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $118.80 | $8.31 – $158.40 |
| UPMC Bedford | Everett | $58.80 | $3.03 – $88.20 |
| UPMC Carlisle | Carlisle | $46.80 | $8.33 – $66.30 |
| UPMC Cole | Coudersport | $60.00 | $5.47 – $80.00 |
| UPMC Community Osteopathic | Harrisburg | $46.80 | $8.33 – $66.30 |
| UPMC East | Monroeville | $125.40 | $8.31 – $167.20 |
| UPMC Hamot | Erie | $125.40 | $8.31 – $16.25 |
| UPMC Northwest | Seneca | $80.40 | $7.63 – $11.15 |