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Diagnostic Mammogram (both breasts) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$310.20
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.
$517.00
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.
$59.99 with Highmark BCBS of PA vs $742.29 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 | $59.99 | ↓ -81% |
| Prime Net | Managed Medicare | $85.31 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $103.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $103.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $118.99 | ↓ -62% |
| Aetna | Medicare | $139.16 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $164.91 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicaid | $164.91 | ↓ -47% |
| UPMC Health Plan | Managed Medicaid | $168.81 | ↓ -46% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $176.86 | ↓ -43% |
| Geisinger | Medicaid/CHIP | $189.14 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $211.97 | ↓ -32% |
| Aetna | ACO | $213.52 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $246.61 | ↓ -20% |
| Aetna | Commercial | $248.16 | ↓ -20% |
| Geisinger | Commercial | $338.53 | ↑ +9% |
| UPMC Health Plan | Commercial | $361.90 | ↑ +17% |
| Wellspan Population Health | Commercial | $361.90 | ↑ +17% |
| United Healthcare | Commercial | $380.51 | ↑ +23% |
| Prime Net | FH-Medical Rental | $385.17 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $439.45 | ↑ +42% |
| Cigna | Commercial | $611.06 | ↑ +97% |
| UPMC Health Plan | CHIP | $675.02 | ↑ +118% |
| Capital Blue Cross | CHIP | $742.29 | ↑ +139% |
| Capital Blue Cross | Commercial | $742.29 | ↑ +139% |
| Keystone Health Plan | Commercial | $742.29 | ↑ +139% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Diagnostic Mammogram (both breasts) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $612.00 | $73.61 – $714.00 |
| UPMC Carlisle | Carlisle | $310.20 | $70.83 – $611.06 |
| UPMC Altoona | Altoona | $583.20 | $73.61 – $777.60 |
| UPMC Bedford | Everett | $609.00 | $136.34 – $913.50 |
| UPMC Cole | Coudersport | $458.40 | $136.34 – $611.20 |
| UPMC Community Osteopathic | Harrisburg | $310.20 | $103.40 – $675.02 |
| UPMC Hanover | Hanover | $310.20 | $98.23 – $611.06 |
| UPMC Jameson | New Castle | $306.00 | $74.91 – $448.80 |