Diagnostic laryngoscopy 31505 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$432.60
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.
$721.00
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.
$75.75 with Highmark BCBS of PA vs $1,310.40 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 | $75.75 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $98.13 | ↓ -77% |
| Prime Net | Managed Medicare | $118.97 | ↓ -72% |
| United Healthcare Community Plan for Families | PA Medicaid | $142.84 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $144.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $144.20 | ↓ -67% |
| Aetna | Medicare | $194.16 | ↓ -55% |
| Cigna | Medicare | $195.47 | ↓ -55% |
| Geisinger | Medicare | $195.47 | ↓ -55% |
| United Healthcare | Medicare | $199.19 | ↓ -54% |
| Prime Net | ACO/Legacy Commercial | $295.61 | ↓ -32% |
| Aetna | ACO | $297.77 | ↓ -31% |
| Keystone Autism Services | ACAP | $297.86 | ↓ -31% |
| UPMC Health Plan | CHIP | $300.10 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $343.92 | ↓ -20% |
| Aetna | Commercial | $346.08 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $396.55 | ↓ -8% |
| Geisinger | Commercial | $472.11 | ↑ +9% |
| Wellspan Population Health | Commercial | $504.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $504.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $537.14 | ↑ +24% |
| Cigna | Commercial | $562.38 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $612.85 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $616.64 | ↑ +43% |
| Highmark BCBS of PA | Commercial | $656.07 | ↑ +52% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +203% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +203% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +203% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic laryngoscopy 31505 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $432.60 | $94.43 – $612.85 |
| UPMC Cole | Coudersport | $259.20 | $17.46 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $432.60 | $98.13 – $612.85 |
| UPMC Hanover | Hanover | $432.60 | $98.13 – $300.10 |
| UPMC Lititz | Lititz | $432.60 | $94.43 – $300.10 |
| UPMC Muncy | Muncy | $279.60 | $98.51 – $139.57 |
| UPMC Presbyterian | Pittsburgh | $609.00 | $93.83 – $203.60 |
| UPMC Somerset | Somerset | $432.60 | $90.23 – $199.88 |