healthcosts.net
Cystoscopy (Bladder Scope) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,815.60
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.
$3,026.00
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.
$95.25 with Highmark Wholecare (prev Gateway) vs $2,966.25 with Capital Blue Cross — 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 Wholecare (prev Gateway) | Medicaid | $95.25 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $95.25 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $97.50 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $102.15 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $109.25 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $332.16 | ↓ -82% |
| Highmark BCBS of PA | Medicare | $444.23 | ↓ -76% |
| Prime Net | Managed Medicare | $499.29 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $605.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $605.20 | ↓ -67% |
| Aetna | Medicare | $667.56 | ↓ -63% |
| Cigna | Medicare | $672.04 | ↓ -63% |
| Geisinger | Medicare | $672.04 | ↓ -63% |
| United Healthcare | Medicare | $684.84 | ↓ -62% |
| United Healthcare Community Plan for Families | PA Medicaid | $762.42 | ↓ -58% |
| Keystone Autism Services | ACAP | $1,024.06 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $1,240.66 | ↓ -32% |
| Aetna | ACO | $1,249.74 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,443.40 | ↓ -21% |
| Aetna | Commercial | $1,452.48 | ↓ -20% |
| UPMC Health Plan | CHIP | $1,715.17 | ↓ -6% |
| Geisinger | Commercial | $1,981.42 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,118.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,118.20 | ↑ +17% |
| Highmark BCBS of PA | Medicaid | $2,120.07 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,254.37 | ↑ +24% |
| Highmark BCBS of PA | Commercial | $2,255.63 | ↑ +24% |
| Cigna | Commercial | $2,360.28 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,572.10 | ↑ +42% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +63% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +63% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +63% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Cystoscopy (Bladder Scope) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,580.60 | $82.50 – $3,655.85 |
| UPMC East | Monroeville | $2,213.40 | $82.50 – $2,951.20 |
| UPMC Hamot | Erie | $2,752.20 | $82.50 – $3,210.90 |
| UPMC Carlisle | Carlisle | $1,815.60 | $95.25 – $2,572.10 |
| UPMC Cole | Coudersport | $400.80 | $78.75 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $1,815.60 | $95.25 – $1,715.17 |
| UPMC Hanover | Hanover | $1,815.60 | $95.25 – $2,632.62 |
| UPMC Kane | Kane | $1,731.00 | $82.50 – $2,308.00 |