Egfr gene com variants at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,875.60
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.
$3,126.00
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.
$100.41 with Highmark BCBS of PA vs $2,657.10 with Multiplan — 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 | $100.41 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $263.34 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $334.44 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $335.72 | ↓ -82% |
| Aetna | Medicare | $338.54 | ↓ -82% |
| Geisinger | Medicare | $340.81 | ↓ -82% |
| Cigna | Medicare | $340.81 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $342.34 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $344.98 | ↓ -82% |
| United Healthcare | Medicare | $347.30 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $358.67 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $383.58 | ↓ -80% |
| Prime Net | Managed Medicare | $515.79 | ↓ -73% |
| Keystone Autism Services | ACAP | $519.33 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $625.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $625.20 | ↓ -67% |
| Cigna | Commercial | $843.92 | ↓ -55% |
| Highmark BCBS of PA | Medicaid | $1,075.14 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $1,143.88 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $1,281.66 | ↓ -32% |
| Aetna | ACO | $1,291.04 | ↓ -31% |
| UPMC Health Plan | CHIP | $1,377.26 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $1,491.10 | ↓ -21% |
| Aetna | Commercial | $1,500.48 | ↓ -20% |
| Capital Blue Cross | Commercial | $1,892.48 | ↑ +1% |
| Capital Blue Cross | CHIP | $1,892.48 | ↑ +1% |
| Keystone Health Plan | Commercial | $1,987.20 | ↑ +6% |
| Geisinger | Commercial | $2,046.90 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,188.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,188.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,328.87 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,657.10 | ↑ +42% |
Visitor-reported prices
Comments
Egfr gene com variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $107.00 – $350.55 |
| UPMC Carlisle | Carlisle | $1,875.60 | $263.34 – $2,657.10 |
| UPMC Cole | Coudersport | $1,104.60 | $53.00 – $1,472.80 |
| UPMC Community Osteopathic | Harrisburg | $1,875.60 | $263.34 – $2,657.10 |
| UPMC East | Monroeville | $142.20 | $78.21 – $366.02 |
| UPMC Hamot | Erie | $163.80 | $123.20 – $366.02 |
| UPMC Hanover | Hanover | $1,875.60 | $263.34 – $519.33 |
| UPMC Horizon-Greenville | Greenville | $539.40 | $199.21 – $366.02 |