Disability dlco at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$886.80
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.
$1,478.00
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.
$28.00 with Highmark BCBS of PA vs $1,256.30 with Multiplan — 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 | $28.00 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $28.74 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.08 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.08 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $41.03 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.98 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $45.97 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $60.88 | ↓ -93% |
| UPMC Health Plan | CHIP | $124.54 | ↓ -86% |
| Aetna | Medicare | $156.48 | ↓ -82% |
| Cigna | Medicare | $157.53 | ↓ -82% |
| Geisinger | Medicare | $157.53 | ↓ -82% |
| United Healthcare | Medicare | $160.53 | ↓ -82% |
| Keystone Autism Services | ACAP | $240.05 | ↓ -73% |
| Prime Net | Managed Medicare | $243.87 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $295.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $295.60 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $496.96 | ↓ -44% |
| Highmark BCBS of PA | Commercial | $528.74 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $605.98 | ↓ -32% |
| Aetna | ACO | $610.41 | ↓ -31% |
| United Healthcare | Commercial | $613.00 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $705.01 | ↓ -20% |
| Aetna | Commercial | $709.44 | ↓ -20% |
| Capital Blue Cross | Commercial | $894.78 | ↑ +1% |
| Capital Blue Cross | CHIP | $894.78 | ↑ +1% |
| Keystone Health Plan | Commercial | $939.56 | ↑ +6% |
| Geisinger | Commercial | $967.79 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,034.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,034.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,101.11 | ↑ +24% |
| Cigna | Commercial | $1,152.84 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,256.30 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Disability dlco at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $217.20 | $21.94 – $289.60 |
| UPMC Cole | Coudersport | $90.00 | $11.64 – $58.17 |
| UPMC Community Osteopathic | Harrisburg | $886.80 | $14.20 – $164.68 |
| UPMC East | Monroeville | $225.00 | $34.68 – $300.00 |
| UPMC Hamot | Erie | $173.40 | $34.35 – $205.40 |
| UPMC Northwest | Seneca | $190.20 | $34.72 – $156.63 |
| UPMC Hanover | Hanover | $886.80 | $28.74 – $239.15 |
| UPMC Horizon-Greenville | Greenville | $181.20 | $34.72 – $161.10 |