Cytogenetics 25-99 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$136.80
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.
$228.00
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.
$33.86 with United Healthcare Community Plan for Families vs $238.67 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $33.86 | ↓ -75% |
| Prime Net | Managed Medicare | $37.62 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $43.83 | ↓ -68% |
| Aetna | Medicare | $44.20 | ↓ -68% |
| Geisinger | Medicare | $44.50 | ↓ -67% |
| Cigna | Medicare | $44.50 | ↓ -67% |
| United Healthcare | Medicare | $45.35 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $45.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $45.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $67.81 | ↓ -50% |
| Highmark BCBS of PA | Medicare | $70.45 | ↓ -49% |
| Prime Net | ACO/Legacy Commercial | $93.48 | ↓ -32% |
| Aetna | ACO | $94.16 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $108.76 | ↓ -20% |
| Aetna | Commercial | $109.44 | ↓ -20% |
| Cigna | Commercial | $110.20 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $125.40 | ↓ -8% |
| Highmark BCBS of PA | Medicaid | $140.38 | ↑ +3% |
| Geisinger | Commercial | $149.29 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $149.36 | ↑ +9% |
| Wellspan Population Health | Commercial | $159.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $159.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $169.86 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $193.80 | ↑ +42% |
| Capital Blue Cross | Commercial | $235.59 | ↑ +72% |
| Capital Blue Cross | CHIP | $235.59 | ↑ +72% |
| Keystone Health Plan | Commercial | $235.59 | ↑ +72% |
| UPMC Health Plan | CHIP | $238.67 | ↑ +74% |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $158.40 | $41.88 – $211.20 |
| UPMC Cole | Coudersport | $153.00 | $27.55 – $204.00 |
| UPMC East | Monroeville | $666.60 | $41.88 – $888.80 |
| UPMC Hamot | Erie | $420.60 | $41.88 – $86.43 |
| UPMC Northwest | Seneca | $292.80 | $38.43 – $45.77 |
| UPMC Horizon-Greenville | Greenville | $357.60 | $37.94 – $79.53 |
| UPMC Jameson | New Castle | $357.60 | $29.73 – $87.96 |
| UPMC Magee | Pittsburgh | $357.60 | $39.66 – $87.26 |