Exchange drainage catheter at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$6,913.20
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.
$11,522.00
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.
$74.68 with Highmark Wholecare (prev Gateway) vs $9,793.70 with Multiplan — 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 | $74.68 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $76.44 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.38 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $80.09 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $85.65 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $218.31 | ↓ -97% |
| Highmark BCBS of PA | Medicare | $827.96 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -85% |
| Aetna | Medicare | $1,897.24 | ↓ -73% |
| Prime Net | Managed Medicare | $1,901.13 | ↓ -73% |
| Geisinger | Medicare | $1,909.97 | ↓ -72% |
| Cigna | Medicare | $1,909.97 | ↓ -72% |
| United Healthcare | Medicare | $1,946.35 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $2,304.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,304.40 | ↓ -67% |
| Keystone Autism Services | ACAP | $2,910.43 | ↓ -58% |
| Capital Blue Cross | Commercial | $4,172.70 | ↓ -40% |
| Capital Blue Cross | CHIP | $4,172.70 | ↓ -40% |
| Keystone Health Plan | Commercial | $4,172.70 | ↓ -40% |
| UPMC Health Plan | CHIP | $4,605.38 | ↓ -33% |
| Prime Net | ACO/Legacy Commercial | $4,724.02 | ↓ -32% |
| Aetna | ACO | $4,758.59 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $5,495.99 | ↓ -21% |
| Aetna | Commercial | $5,530.56 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $6,025.32 | ↓ -13% |
| Highmark BCBS of PA | Commercial | $6,410.59 | ↓ -7% |
| Geisinger | Commercial | $7,544.61 | ↑ +9% |
| Wellspan Population Health | Commercial | $8,065.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $8,065.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $8,583.89 | ↑ +24% |
| Cigna | Commercial | $9,539.00 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,793.70 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exchange drainage catheter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,895.40 | $58.80 – $6,527.20 |
| UPMC Carlisle | Carlisle | $6,913.20 | $74.68 – $9,793.70 |
| UPMC Community Osteopathic | Harrisburg | $6,913.20 | $79.38 – $9,793.70 |
| UPMC East | Monroeville | $3,520.20 | $64.68 – $4,693.60 |
| UPMC Hamot | Erie | $6,211.80 | $64.68 – $2,630.42 |
| UPMC Northwest | Seneca | $4,902.00 | $64.68 – $1,898.98 |
| UPMC Hanover | Hanover | $6,913.20 | $74.68 – $2,899.50 |
| UPMC Lititz | Lititz | $6,913.20 | $74.68 – $2,915.17 |