Dch pulmonary stress test at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$650.40
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.
$1,084.00
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.
$56.72 with Highmark BCBS of PA vs $1,052.33 with Highmark BCBS of PA — 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 | $56.72 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $83.26 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $137.55 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $137.55 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $140.80 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $147.52 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $157.76 | ↓ -76% |
| Prime Net | Managed Medicare | $178.86 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $207.88 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $216.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $216.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $221.82 | ↓ -66% |
| Aetna | Medicare | $311.44 | ↓ -52% |
| Cigna | Medicare | $313.53 | ↓ -52% |
| Geisinger | Medicare | $313.53 | ↓ -52% |
| United Healthcare | Medicare | $319.50 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $444.44 | ↓ -32% |
| Aetna | ACO | $447.69 | ↓ -31% |
| Keystone Autism Services | ACAP | $477.76 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $517.07 | ↓ -20% |
| Aetna | Commercial | $520.32 | ↓ -20% |
| United Healthcare | Commercial | $613.00 | ↓ -6% |
| Capital Blue Cross | Commercial | $656.25 | ↑ +1% |
| Capital Blue Cross | CHIP | $656.25 | ↑ +1% |
| Keystone Health Plan | Commercial | $689.10 | ↑ +6% |
| Geisinger | Commercial | $709.80 | ↑ +9% |
| UPMC Health Plan | Commercial | $758.80 | ↑ +17% |
| Wellspan Population Health | Commercial | $758.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $807.58 | ↑ +24% |
| Cigna | Commercial | $845.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $921.40 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $989.08 | ↑ +52% |
| Highmark BCBS of PA | Commercial | $1,052.33 | ↑ +62% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Dch pulmonary stress test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $629.40 | $63.56 – $839.20 |
| UPMC Carlisle | Carlisle | $650.40 | $83.26 – $921.40 |
| UPMC Community Osteopathic | Harrisburg | $650.40 | $83.26 – $921.40 |
| UPMC Hanover | Hanover | $650.40 | $83.26 – $475.97 |
| UPMC Horizon-Greenville | Greenville | $741.60 | $119.14 – $320.63 |
| UPMC Jameson | New Castle | $3,041.40 | $70.82 – $371.10 |
| UPMC Lititz | Lititz | $650.40 | $83.26 – $478.54 |
| UPMC Muncy | Muncy | $156.00 | $81.36 – $212.50 |