Cytopathology fna adequacy evaluation first episode each site interp/rpt at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$116.40
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.
$194.00
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.
$20.63 with Highmark BCBS of PA vs $291.48 with Keystone 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $20.63 | ↓ -82% |
| Prime Net | Managed Medicare | $32.01 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $38.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $38.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $40.07 | ↓ -66% |
| Aetna | Medicare | $53.43 | ↓ -54% |
| Cigna | Medicare | $53.79 | ↓ -54% |
| Geisinger | Medicare | $53.79 | ↓ -54% |
| United Healthcare | Medicare | $54.82 | ↓ -53% |
| Prime Net | ACO/Legacy Commercial | $79.54 | ↓ -32% |
| UPMC Health Plan | CHIP | $79.86 | ↓ -31% |
| Aetna | ACO | $80.12 | ↓ -31% |
| Keystone Autism Services | ACAP | $81.97 | ↓ -30% |
| Prime Net | GateKeeper/NonGateKeeper | $92.54 | ↓ -20% |
| Aetna | Commercial | $93.12 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $106.70 | ↓ -8% |
| Geisinger | Commercial | $127.03 | ↑ +9% |
| UPMC Health Plan | Commercial | $135.80 | ↑ +17% |
| Wellspan Population Health | Commercial | $135.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $144.53 | ↑ +24% |
| UPMC Work Partners | Workers Comp | $148.60 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $164.90 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $169.69 | ↑ +46% |
| Highmark BCBS of PA | Commercial | $180.54 | ↑ +55% |
| Cigna | Commercial | $216.76 | ↑ +86% |
| Capital Blue Cross | Commercial | $291.48 | ↑ +150% |
| Capital Blue Cross | CHIP | $291.48 | ↑ +150% |
| Keystone Health Plan | Commercial | $291.48 | ↑ +150% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Cytopathology fna adequacy evaluation first episode each site interp/rpt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $249.60 | $25.32 – $332.80 |
| UPMC Bedford | Everett | $145.80 | $18.38 – $218.70 |
| UPMC Carlisle | Carlisle | $116.40 | $26.58 – $164.90 |
| UPMC Cole | Coudersport | $251.40 | $53.00 – $335.20 |
| UPMC Community Osteopathic | Harrisburg | $223.80 | $30.20 – $148.60 |
| UPMC East | Monroeville | $197.40 | $21.97 – $263.20 |
| UPMC Hamot | Erie | $288.00 | $25.32 – $146.41 |
| UPMC Northwest | Seneca | $85.20 | $22.17 – $141.99 |