Cutter lead at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,505.40
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.
$2,509.00
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.
$70.00 with Aetna vs $1,087.91 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $70.00 | ↓ -95% |
| Prime Net | Managed Medicare | $206.75 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $245.43 | ↓ -84% |
| Keystone Health Plan | Medicare Advantage | $250.60 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $250.60 | ↓ -83% |
| Prime Net | ACO/Legacy Commercial | $513.73 | ↓ -66% |
| Aetna | ACO | $517.49 | ↓ -66% |
| Prime Net | GateKeeper/NonGateKeeper | $597.68 | ↓ -60% |
| Aetna | Commercial | $601.44 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $689.15 | ↓ -54% |
| Capital Blue Cross | CHIP | $758.57 | ↓ -50% |
| Capital Blue Cross | Commercial | $758.57 | ↓ -50% |
| Keystone Health Plan | Commercial | $796.53 | ↓ -47% |
| Geisinger | Commercial | $820.46 | ↓ -45% |
| Wellspan Population Health | Commercial | $877.10 | ↓ -42% |
| UPMC Health Plan | Commercial | $877.10 | ↓ -42% |
| United Healthcare | Commercial | $922.21 | ↓ -39% |
| Prime Net | FH-Medical Rental | $933.49 | ↓ -38% |
| Cigna | Commercial | $977.34 | ↓ -35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,065.05 | ↓ -29% |
| UPMC Health Plan | CHIP | $1,087.91 | ↓ -28% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cutter lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,585.80 | $88.00 – $1,087.91 |
| UPMC Cole | Coudersport | $621.00 | $196.65 – $828.00 |
| UPMC Community Osteopathic | Harrisburg | $1,505.40 | $250.60 – $1,585.06 |
| UPMC East | Monroeville | $2,460.60 | $186.50 – $1,087.91 |
| UPMC Hamot | Erie | $2,259.00 | $301.13 – $301.13 |
| UPMC Northwest | Seneca | $1,829.40 | $781.54 – $1,316.47 |
| UPMC Horizon-Greenville | Greenville | $814.20 | $767.44 – $1,087.91 |
| UPMC Jameson | New Castle | $1,444.80 | $70.00 – $1,087.91 |