Dxa bone density axl vrt fx at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$239.40
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.
$399.00
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.
$21.06 with Highmark BCBS of PA vs $589.04 with Cigna — 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 | $21.06 | ↓ -91% |
| Prime Net | Managed Medicare | $65.83 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $76.89 | ↓ -68% |
| Premier Comp Solutions | Worker's Comp | $76.89 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $79.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $79.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $85.41 | ↓ -64% |
| Aetna | Medicare | $106.35 | ↓ -56% |
| Geisinger | Medicare | $107.07 | ↓ -55% |
| Cigna | Medicare | $107.07 | ↓ -55% |
| United Healthcare | Medicare | $109.11 | ↓ -54% |
| Keystone Autism Services | ACAP | $163.15 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $163.59 | ↓ -32% |
| Aetna | ACO | $164.79 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $190.32 | ↓ -21% |
| Aetna | Commercial | $191.52 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $219.45 | ↓ -8% |
| Capital Blue Cross | Commercial | $249.87 | ↑ +4% |
| Capital Blue Cross | CHIP | $249.87 | ↑ +4% |
| Keystone Health Plan | Commercial | $249.87 | ↑ +4% |
| Geisinger | Commercial | $261.27 | ↑ +9% |
| UPMC Health Plan | Commercial | $279.30 | ↑ +17% |
| Wellspan Population Health | Commercial | $279.30 | ↑ +17% |
| United Healthcare | Commercial | $293.66 | ↑ +23% |
| Prime Net | FH-Medical Rental | $297.25 | ↑ +24% |
| Highmark BCBS of PA | Medicaid | $337.77 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $339.15 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $359.36 | ↑ +50% |
| UPMC Health Plan | CHIP | $444.30 | ↑ +86% |
| Cigna | Commercial | $589.04 | ↑ +146% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Dxa bone density axl vrt fx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $239.40 | $54.66 – $339.15 |
| UPMC Community Osteopathic | Harrisburg | $239.40 | $76.89 – $444.30 |
| UPMC Northwest | Seneca | $151.80 | $67.06 – $109.49 |
| UPMC Hanover | Hanover | $239.40 | $76.89 – $444.30 |
| UPMC Lititz | Lititz | $239.40 | $76.89 – $444.30 |
| UPMC Magee | Pittsburgh | $201.00 | $26.08 – $111.52 |
| UPMC Mercy | Pittsburgh | $675.00 | $25.84 – $111.52 |
| UPMC Muncy | Muncy | $672.60 | $73.47 – $83.46 |