Dup scan/hemodialysis access 93990 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$375.60
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.
$626.00
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.
$72.57 with Highmark BCBS of PA vs $801.00 with United Healthcare — 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 | $72.57 | ↓ -81% |
| Prime Net | Managed Medicare | $103.29 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $105.47 | ↓ -72% |
| Aetna | Medicare | $106.35 | ↓ -72% |
| Cigna | Medicare | $107.07 | ↓ -71% |
| Geisinger | Medicare | $107.07 | ↓ -71% |
| United Healthcare | Medicare | $109.11 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $117.46 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.46 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $120.24 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $125.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $125.20 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $125.97 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $134.72 | ↓ -64% |
| Keystone Autism Services | ACAP | $163.15 | ↓ -57% |
| Prime Net | ACO/Legacy Commercial | $256.66 | ↓ -32% |
| Aetna | ACO | $258.54 | ↓ -31% |
| UPMC Health Plan | CHIP | $283.47 | ↓ -25% |
| Prime Net | GateKeeper/NonGateKeeper | $298.60 | ↓ -21% |
| Aetna | Commercial | $300.48 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $337.77 | ↓ -10% |
| Highmark BCBS of PA | Commercial | $359.36 | ↓ -4% |
| UPMC Work Partners | Workers Comp | $365.94 | ↓ -3% |
| Capital Blue Cross | CHIP | $378.98 | ↑ +1% |
| Capital Blue Cross | Commercial | $378.98 | ↑ +1% |
| Keystone Health Plan | Commercial | $397.95 | ↑ +6% |
| Geisinger | Commercial | $409.90 | ↑ +9% |
| Wellspan Population Health | Commercial | $438.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $438.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $466.37 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $532.10 | ↑ +42% |
| Cigna | Commercial | $589.04 | ↑ +57% |
| United Healthcare | Commercial | $801.00 | ↑ +113% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/hemodialysis access 93990 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,017.60 | $80.51 – $1,356.80 |
| UPMC Carlisle | Carlisle | $375.60 | $85.76 – $532.10 |
| UPMC Community Osteopathic | Harrisburg | $375.60 | $103.55 – $532.10 |
| UPMC Hamot | Erie | $241.20 | $89.04 – $383.47 |
| UPMC Northwest | Seneca | $498.00 | $91.94 – $349.68 |
| UPMC Hanover | Hanover | $375.60 | $100.57 – $365.94 |
| UPMC Horizon-Greenville | Greenville | $520.20 | $90.77 – $349.68 |
| UPMC Jameson | New Castle | $242.40 | $90.61 – $349.68 |