Destroy cth facet jnt addl 64634 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,099.40
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.
$3,499.00
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.
$57.65 with Aetna vs $9,539.00 with Cigna — 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 | $57.65 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $70.13 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $71.79 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $72.34 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $74.55 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $75.21 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $80.43 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $299.23 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $477.77 | ↓ -77% |
| Prime Net | Managed Medicare | $577.34 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $699.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $699.80 | ↓ -67% |
| Capital Blue Cross | Commercial | $1,310.40 | ↓ -38% |
| Capital Blue Cross | CHIP | $1,310.40 | ↓ -38% |
| Keystone Health Plan | Commercial | $1,310.40 | ↓ -38% |
| Prime Net | ACO/Legacy Commercial | $1,434.59 | ↓ -32% |
| Aetna | ACO | $1,445.09 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,669.02 | ↓ -21% |
| Aetna | Commercial | $1,679.52 | ↓ -20% |
| UPMC Health Plan | CHIP | $1,919.40 | ↓ -9% |
| Geisinger | Commercial | $2,291.15 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,449.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,449.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,606.76 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,974.15 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +354% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Destroy cth facet jnt addl 64634 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,099.40 | $70.13 – $9,539.00 |
| UPMC Cole | Coudersport | $256.80 | $57.98 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,099.40 | $72.34 – $2,974.15 |
| UPMC East | Monroeville | $3,025.20 | $60.74 – $4,033.60 |
| UPMC Northwest | Seneca | $4,080.60 | $60.74 – $1,521.39 |
| UPMC Hanover | Hanover | $2,099.40 | $70.13 – $299.23 |
| UPMC Horizon-Greenville | Greenville | $2,396.40 | $57.98 – $1,140.40 |
| UPMC Jameson | New Castle | $2,396.40 | $57.65 – $596.53 |