healthcosts.net
ER Visit (level 1, minor) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$391.20
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.
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What you pay up front if you don't use insurance.
$652.00
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.
$21.05 with AmeriHealth Caritas vs $750.00 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.05 | ↓ -95% |
| Highmark BCBS of PA | Medicare | $44.71 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $53.65 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $60.00 | ↓ -85% |
| Aetna | Medicare | $88.06 | ↓ -77% |
| Cigna | Medicare | $88.65 | ↓ -77% |
| Geisinger | Medicare | $88.65 | ↓ -77% |
| United Healthcare | Medicare | $90.34 | ↓ -77% |
| Prime Net | Managed Medicare | $107.58 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $130.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $130.40 | ↓ -67% |
| Keystone Autism Services | ACAP | $135.09 | ↓ -65% |
| UPMC Health Plan | CHIP | $176.68 | ↓ -55% |
| Prime Net | ACO/Legacy Commercial | $267.32 | ↓ -32% |
| Aetna | ACO | $269.28 | ↓ -31% |
| Highmark BCBS of PA | Medicaid | $279.67 | ↓ -29% |
| Highmark BCBS of PA | Commercial | $297.55 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $311.00 | ↓ -21% |
| Aetna | Commercial | $312.96 | ↓ -20% |
| Keystone Health Plan | Commercial | $358.05 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $358.60 | ↓ -8% |
| Capital Blue Cross | CHIP | $400.05 | ↑ +2% |
| Capital Blue Cross | Commercial | $400.05 | ↑ +2% |
| Geisinger | Commercial | $426.93 | ↑ +9% |
| UPMC Health Plan | Commercial | $456.40 | ↑ +17% |
| Wellspan Population Health | Commercial | $456.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $485.74 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $554.20 | ↑ +42% |
| Cigna | Commercial | $750.00 | ↑ +92% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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ER Visit (level 1, minor) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $183.60 | $51.60 – $260.10 |
| UPMC East | Monroeville | $260.40 | $51.60 – $347.20 |
| UPMC Hamot | Erie | $384.60 | $51.60 – $448.70 |
| UPMC Carlisle | Carlisle | $391.20 | $21.05 – $554.20 |
| UPMC Altoona | Altoona | $374.40 | $21.00 – $499.20 |
| UPMC Bedford | Everett | $215.40 | $30.29 – $323.10 |
| UPMC Cole | Coudersport | $136.20 | $18.26 – $103.74 |
| UPMC Community Osteopathic | Harrisburg | $391.20 | $21.05 – $554.20 |