Drng of eyelid abscess 67700 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$770.40
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.
$1,284.00
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.
$174.91 with UPMC Work Partners vs $3,905.78 with UPMC 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $174.91 | ↓ -77% |
| Prime Net | Managed Medicare | $211.86 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $256.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $256.80 | ↓ -67% |
| Aetna | Medicare | $298.97 | ↓ -61% |
| Cigna | Medicare | $300.97 | ↓ -61% |
| Geisinger | Medicare | $300.97 | ↓ -61% |
| United Healthcare | Medicare | $306.70 | ↓ -60% |
| Keystone Autism Services | ACAP | $458.62 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $526.44 | ↓ -32% |
| Aetna | ACO | $530.29 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $612.47 | ↓ -20% |
| Aetna | Commercial | $616.32 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $706.20 | ↓ -8% |
| Geisinger | Commercial | $840.76 | ↑ +9% |
| Wellspan Population Health | Commercial | $898.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $898.80 | ↑ +17% |
| Highmark BCBS of PA | Medicaid | $949.47 | ↑ +23% |
| Prime Net | FH-Medical Rental | $956.58 | ↑ +24% |
| Cigna | Commercial | $1,001.52 | ↑ +30% |
| Highmark BCBS of PA | Medicare | $1,004.69 | ↑ +30% |
| Highmark BCBS of PA | Commercial | $1,010.18 | ↑ +31% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,091.23 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,091.40 | ↑ +42% |
| Keystone Health Plan | Commercial | $2,577.75 | ↑ +235% |
| Capital Blue Cross | CHIP | $2,577.75 | ↑ +235% |
| Capital Blue Cross | Commercial | $2,577.75 | ↑ +235% |
| UPMC Health Plan | CHIP | $3,905.78 | ↑ +407% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Drng of eyelid abscess 67700 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $770.40 | $157.28 – $1,091.40 |
| UPMC Community Osteopathic | Harrisburg | $770.40 | $174.91 – $3,905.78 |
| UPMC East | Monroeville | $5,161.80 | $173.94 – $6,882.40 |
| UPMC Hamot | Erie | $5,268.60 | $173.94 – $1,232.68 |
| UPMC Hanover | Hanover | $770.40 | $174.91 – $3,905.78 |
| UPMC Horizon-Greenville | Greenville | $4,148.40 | $167.13 – $534.78 |
| UPMC Jameson | New Castle | $1,363.20 | $167.13 – $1,254.43 |
| UPMC Lititz | Lititz | $770.40 | $172.95 – $3,905.78 |