Embo or occlude vascular tumor/organ/infarct s&i at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$22,274.40
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.
$37,124.00
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.
$619.25 with Highmark Wholecare (prev Gateway) vs $38,323.81 with Highmark BCBS of PA — 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 Wholecare (prev Gateway) | Medicaid | $619.25 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $619.25 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $633.88 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $664.11 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $710.24 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -95% |
| Highmark BCBS of PA | Medicare | $2,963.57 | ↓ -87% |
| UPMC Health Plan | CHIP | $5,278.78 | ↓ -76% |
| Prime Net | Managed Medicare | $6,125.46 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $7,424.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $7,424.80 | ↓ -67% |
| Keystone Health Plan | Commercial | $9,437.40 | ↓ -58% |
| Aetna | Medicare | $11,342.07 | ↓ -49% |
| Geisinger | Medicare | $11,418.19 | ↓ -49% |
| Cigna | Medicare | $11,418.19 | ↓ -49% |
| United Healthcare | Medicare | $11,635.68 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $13,401.00 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $15,220.84 | ↓ -32% |
| Aetna | ACO | $15,332.21 | ↓ -31% |
| Cigna | Commercial | $17,298.00 | ↓ -22% |
| Keystone Autism Services | ACAP | $17,399.15 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $17,708.15 | ↓ -20% |
| Aetna | Commercial | $17,819.52 | ↓ -20% |
| Capital Blue Cross | Commercial | $22,309.35 | ↑ +0% |
| Capital Blue Cross | CHIP | $22,309.35 | ↑ +0% |
| Geisinger | Commercial | $24,308.80 | ↑ +9% |
| Wellspan Population Health | Commercial | $25,986.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $25,986.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $27,657.38 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $31,555.40 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $36,020.59 | ↑ +62% |
| Highmark BCBS of PA | Commercial | $38,323.81 | ↑ +72% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Embo or occlude vascular tumor/organ/infarct s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,728.80 | $487.60 – $15,638.40 |
| UPMC Carlisle | Carlisle | $22,274.40 | $619.25 – $31,555.40 |
| UPMC Community Osteopathic | Harrisburg | $22,274.40 | $619.25 – $31,555.40 |
| UPMC East | Monroeville | $12,721.80 | $536.36 – $16,962.40 |
| UPMC Hamot | Erie | $12,810.60 | $536.36 – $15,725.10 |
| UPMC Hanover | Hanover | $22,274.40 | $619.25 – $17,333.84 |
| UPMC Lititz | Lititz | $22,274.40 | $619.25 – $17,427.46 |
| UPMC Magee | Pittsburgh | $12,721.80 | $536.36 – $12,805.40 |