Event monitor at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$130.80
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.
$218.00
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.
$18.67 with AmeriHealth Caritas vs $1,097.00 with United Healthcare — 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 | $18.67 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.67 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $19.11 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $19.26 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.02 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $21.41 | ↓ -84% |
| Prime Net | Managed Medicare | $35.97 | ↓ -73% |
| Aetna | Medicare | $37.30 | ↓ -71% |
| Cigna | Medicare | $37.55 | ↓ -71% |
| Geisinger | Medicare | $37.55 | ↓ -71% |
| United Healthcare | Medicare | $38.26 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $43.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $43.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $57.22 | ↓ -56% |
| Highmark BCBS of PA | Medicare | $67.92 | ↓ -48% |
| Prime Net | ACO/Legacy Commercial | $89.38 | ↓ -32% |
| Aetna | ACO | $90.03 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $103.99 | ↓ -20% |
| Aetna | Commercial | $104.64 | ↓ -20% |
| UPMC Work Partners | Workers Comp | $109.56 | ↓ -16% |
| Highmark BCBS of PA | Medicaid | $118.45 | ↓ -9% |
| UPMC Health Plan | CHIP | $119.67 | ↓ -9% |
| Highmark BCBS of PA | Commercial | $126.03 | ↓ -4% |
| Capital Blue Cross | CHIP | $131.98 | ↑ +1% |
| Capital Blue Cross | Commercial | $131.98 | ↑ +1% |
| Keystone Health Plan | Commercial | $138.58 | ↑ +6% |
| Geisinger | Commercial | $142.75 | ↑ +9% |
| Wellspan Population Health | Commercial | $152.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $152.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $162.41 | ↑ +24% |
| Cigna | Commercial | $170.04 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $185.30 | ↑ +42% |
| United Healthcare | Commercial | $1,097.00 | ↑ +739% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Event monitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $601.20 | $14.70 – $801.60 |
| UPMC Bedford | Everett | $597.60 | $12.83 – $896.40 |
| UPMC Cole | Coudersport | $207.00 | $10.14 – $276.00 |
| UPMC East | Monroeville | $430.80 | $16.17 – $574.40 |
| UPMC Hamot | Erie | $526.80 | $16.17 – $114.81 |
| UPMC Northwest | Seneca | $228.60 | $16.17 – $104.69 |
| UPMC Hanover | Hanover | $130.80 | $18.67 – $109.56 |
| UPMC Horizon-Greenville | Greenville | $463.20 | $16.17 – $104.69 |