Echo guide villus sampling at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$355.80
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.
?
What you pay up front if you don't use insurance.
$593.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$61.88 with United Healthcare Community Plan for Families vs $504.05 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $61.88 | ↓ -83% |
| Aetna | Medicare | $76.58 | ↓ -78% |
| Prime Net | Managed Medicare | $97.84 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $99.17 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.17 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $99.88 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $101.52 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $106.36 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $113.75 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $118.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $118.60 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $243.13 | ↓ -32% |
| Aetna | ACO | $244.91 | ↓ -31% |
| Premier Comp Solutions | Worker's Comp | $256.27 | ↓ -28% |
| UPMC Work Partners | Workers Comp | $256.27 | ↓ -28% |
| Prime Net | GateKeeper/NonGateKeeper | $282.86 | ↓ -21% |
| Aetna | Commercial | $284.64 | ↓ -20% |
| UPMC Health Plan | CHIP | $377.27 | ↑ +6% |
| Geisinger | Commercial | $388.30 | ↑ +9% |
| Wellspan Population Health | Commercial | $415.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $415.10 | ↑ +17% |
| Capital Blue Cross | Commercial | $421.09 | ↑ +18% |
| Keystone Health Plan | Commercial | $421.09 | ↑ +18% |
| Capital Blue Cross | CHIP | $421.09 | ↑ +18% |
| United Healthcare | Commercial | $436.45 | ↑ +23% |
| Prime Net | FH-Medical Rental | $441.79 | ↑ +24% |
| Cigna | Commercial | $462.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $504.05 | ↑ +42% |
Visitor-reported prices
Comments
Echo guide villus sampling at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $355.80 | $61.88 – $504.05 |
| UPMC Community Osteopathic | Harrisburg | $355.80 | $61.88 – $538.81 |
| UPMC Lititz | Lititz | $355.80 | $61.88 – $252.17 |
| UPMC Magee | Pittsburgh | $469.80 | $84.24 – $264.78 |
| UPMC Somerset | Somerset | $355.80 | $54.33 – $240.96 |