Echo transesophageal intraop at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,737.60
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.
$2,896.00
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.
$182.82 with Highmark BCBS of PA vs $3,098.55 with Keystone 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $182.82 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $402.05 | ↓ -77% |
| Prime Net | Managed Medicare | $477.84 | ↓ -73% |
| Aetna | Medicare | $548.37 | ↓ -68% |
| Geisinger | Medicare | $552.05 | ↓ -68% |
| Cigna | Medicare | $552.05 | ↓ -68% |
| UPMC Health Plan | CHIP | $553.28 | ↓ -68% |
| United Healthcare | Medicare | $562.56 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $579.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $579.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $841.22 | ↓ -52% |
| Prime Net | ACO/Legacy Commercial | $1,187.36 | ↓ -32% |
| Aetna | ACO | $1,196.05 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,381.39 | ↓ -21% |
| Aetna | Commercial | $1,390.08 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,592.80 | ↓ -8% |
| Highmark BCBS of PA | Medicaid | $1,741.53 | ↑ +0% |
| Highmark BCBS of PA | Commercial | $1,852.88 | ↑ +7% |
| Geisinger | Commercial | $1,896.30 | ↑ +9% |
| United Healthcare | Commercial | $1,907.00 | ↑ +10% |
| UPMC Health Plan | Commercial | $2,027.20 | ↑ +17% |
| Wellspan Population Health | Commercial | $2,027.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,157.52 | ↑ +24% |
| Cigna | Commercial | $2,258.88 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,461.60 | ↑ +42% |
| Capital Blue Cross | Commercial | $3,098.55 | ↑ +78% |
| Capital Blue Cross | CHIP | $3,098.55 | ↑ +78% |
| Keystone Health Plan | Commercial | $3,098.55 | ↑ +78% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Echo transesophageal intraop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,142.60 | $224.30 – $2,856.80 |
| UPMC Carlisle | Carlisle | $1,737.60 | $288.48 – $2,461.60 |
| UPMC Community Osteopathic | Harrisburg | $1,737.60 | $402.05 – $2,461.60 |
| UPMC Hamot | Erie | $2,853.60 | $224.30 – $714.96 |
| UPMC Lititz | Lititz | $1,737.60 | $402.05 – $842.59 |
| UPMC Magee | Pittsburgh | $1,978.20 | $226.44 – $575.01 |
| UPMC Muncy | Muncy | $2,142.60 | $392.84 – $392.84 |
| UPMC Passavant-McCandless | Pittsburgh | $2,355.60 | $226.44 – $575.01 |