Endo abl/incom vein/ext/rad fre/#1 36475 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$7,047.00
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.
$11,745.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $16,693.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -86% |
| Prime Net | Managed Medicare | $1,937.92 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $2,349.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,349.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $3,105.64 | ↓ -56% |
| Aetna | Medicare | $3,147.92 | ↓ -55% |
| Cigna | Medicare | $3,169.05 | ↓ -55% |
| Geisinger | Medicare | $3,169.05 | ↓ -55% |
| United Healthcare | Medicare | $3,229.41 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $3,924.02 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $4,815.45 | ↓ -32% |
| Keystone Autism Services | ACAP | $4,829.02 | ↓ -31% |
| Aetna | ACO | $4,850.69 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $5,602.36 | ↓ -21% |
| Aetna | Commercial | $5,637.60 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $6,459.75 | ↓ -8% |
| Geisinger | Commercial | $7,690.63 | ↑ +9% |
| Wellspan Population Health | Commercial | $8,221.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $8,221.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $8,750.02 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,983.25 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $9,997.29 | ↑ +42% |
| UPMC Health Plan | CHIP | $10,146.42 | ↑ +44% |
| Capital Blue Cross | CHIP | $10,518.90 | ↑ +49% |
| Capital Blue Cross | Commercial | $10,518.90 | ↑ +49% |
| Keystone Health Plan | Commercial | $10,518.90 | ↑ +49% |
| Highmark BCBS of PA | Commercial | $10,636.53 | ↑ +51% |
| Cigna | Commercial | $16,693.00 | ↑ +137% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Endo abl/incom vein/ext/rad fre/#1 36475 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $24,570.60 | $3,060.18 – $32,760.80 |
| UPMC East | Monroeville | $21,260.40 | $3,008.86 – $28,347.20 |
| UPMC Hamot | Erie | $22,308.00 | $3,463.26 – $4,364.40 |
| UPMC Hanover | Hanover | $7,047.00 | $1,016.56 – $10,146.42 |
| UPMC Magee | Pittsburgh | $20,744.40 | $2,808.41 – $3,846.69 |
| UPMC McKeesport | Mckeesport | $18,493.20 | $324.82 – $3,846.69 |
| UPMC Mercy | Pittsburgh | $15,871.80 | $2,274.00 – $4,422.15 |
| UPMC Passavant-McCandless | Pittsburgh | $18,056.40 | $2,788.61 – $4,360.02 |