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Diabetes (HbA1c) Test at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$49.20
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.
$82.00
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.
$7.00 with AmeriHealth Caritas vs $70.21 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.00 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.89 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $9.10 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.17 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $9.53 | ↓ -81% |
| United Healthcare | Commercial | $9.60 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $10.04 | ↓ -80% |
| Aetna | Medicare | $10.13 | ↓ -79% |
| Cigna | Medicare | $10.20 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $10.20 | ↓ -79% |
| Geisinger | Medicare | $10.20 | ↓ -79% |
| United Healthcare | Medicare | $10.39 | ↓ -79% |
| Prime Net | Managed Medicare | $13.53 | ↓ -73% |
| Keystone Autism Services | ACAP | $15.54 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $16.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $16.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $16.79 | ↓ -66% |
| Cigna | Commercial | $25.24 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $32.16 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $33.62 | ↓ -32% |
| Aetna | ACO | $33.87 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $34.22 | ↓ -30% |
| Prime Net | GateKeeper/NonGateKeeper | $39.11 | ↓ -21% |
| Aetna | Commercial | $39.36 | ↓ -20% |
| Geisinger | Commercial | $53.69 | ↑ +9% |
| Wellspan Population Health | Commercial | $57.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $57.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $61.09 | ↑ +24% |
| UPMC Health Plan | CHIP | $67.98 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $69.70 | ↑ +42% |
| Capital Blue Cross | CHIP | $70.21 | ↑ +43% |
| Keystone Health Plan | Commercial | $70.21 | ↑ +43% |
| Capital Blue Cross | Commercial | $70.21 | ↑ +43% |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $158.40 | $7.00 – $211.20 |
| UPMC Passavant-McCandless | Pittsburgh | $236.40 | $7.70 – $334.90 |
| UPMC Hamot | Erie | $125.40 | $7.00 – $146.30 |
| UPMC Carlisle | Carlisle | $49.20 | $7.00 – $69.70 |
| UPMC Altoona | Altoona | $86.40 | $7.00 – $115.20 |
| UPMC Bedford | Everett | $66.60 | $3.50 – $99.90 |
| UPMC Cole | Coudersport | $75.00 | $6.31 – $100.00 |
| UPMC Community Osteopathic | Harrisburg | $49.20 | $7.00 – $67.98 |