Electrophysiology evaluation at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$6,361.20
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.
$10,602.00
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.
$806.81 with Highmark BCBS of PA vs $26,253.15 with Keystone Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $806.81 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -84% |
| Prime Net | Managed Medicare | $1,749.33 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $2,120.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,120.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $3,062.53 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $3,121.99 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $4,346.82 | ↓ -32% |
| Aetna | ACO | $4,378.63 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $5,057.15 | ↓ -21% |
| Aetna | Commercial | $5,088.96 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $5,831.10 | ↓ -8% |
| Geisinger | Commercial | $6,942.19 | ↑ +9% |
| UPMC Health Plan | Commercial | $7,421.40 | ↑ +17% |
| Wellspan Population Health | Commercial | $7,421.40 | ↑ +17% |
| Aetna | Medicare | $7,589.11 | ↑ +19% |
| Geisinger | Medicare | $7,640.04 | ↑ +20% |
| Cigna | Medicare | $7,640.04 | ↑ +20% |
| United Healthcare | Medicare | $7,785.57 | ↑ +22% |
| Prime Net | FH-Medical Rental | $7,898.49 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,011.70 | ↑ +42% |
| Keystone Autism Services | ACAP | $11,641.97 | ↑ +83% |
| Cigna | Commercial | $17,298.00 | ↑ +172% |
| Highmark BCBS of PA | Medicaid | $24,101.78 | ↑ +279% |
| Highmark BCBS of PA | Commercial | $25,642.89 | ↑ +303% |
| Capital Blue Cross | Commercial | $26,253.15 | ↑ +313% |
| Capital Blue Cross | CHIP | $26,253.15 | ↑ +313% |
| Keystone Health Plan | Commercial | $26,253.15 | ↑ +313% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,123.40 | $989.90 – $7,813.09 |
| UPMC Carlisle | Carlisle | $6,361.20 | $1,016.56 – $11,614.29 |
| UPMC Community Osteopathic | Harrisburg | $6,361.20 | $1,016.56 – $9,011.70 |
| UPMC Hamot | Erie | $5,694.00 | $989.90 – $9,017.29 |
| UPMC Hanover | Hanover | $6,361.20 | $1,016.56 – $11,598.26 |
| UPMC Lititz | Lititz | $6,361.20 | $1,016.56 – $11,660.91 |
| UPMC Mercy | Pittsburgh | $10,233.60 | $989.90 – $7,957.77 |
| UPMC Passavant-McCandless | Pittsburgh | $5,260.20 | $999.33 – $7,957.77 |