Filter spider fx 3mmx320cm at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$6,785.40
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.
$11,309.00
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.
$136.85 with Aetna vs $9,612.65 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 |
|---|---|---|---|
| Aetna | Medicare | $136.85 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $1,386.15 | ↓ -80% |
| UPMC Health Plan | CHIP | $1,738.13 | ↓ -74% |
| Prime Net | Managed Medicare | $1,865.98 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $2,261.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,261.80 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $4,636.69 | ↓ -32% |
| Aetna | ACO | $4,670.62 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $5,394.39 | ↓ -21% |
| Aetna | Commercial | $5,428.32 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $6,219.95 | ↓ -8% |
| Capital Blue Cross | Commercial | $6,846.47 | ↑ +1% |
| Capital Blue Cross | CHIP | $6,846.47 | ↑ +1% |
| Keystone Health Plan | Commercial | $7,189.13 | ↑ +6% |
| Geisinger | Commercial | $7,405.13 | ↑ +9% |
| UPMC Health Plan | Commercial | $7,916.30 | ↑ +17% |
| Wellspan Population Health | Commercial | $7,916.30 | ↑ +17% |
| United Healthcare | Commercial | $8,323.42 | ↑ +23% |
| Prime Net | FH-Medical Rental | $8,425.20 | ↑ +24% |
| Cigna | Commercial | $8,821.02 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,612.65 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Filter spider fx 3mmx320cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $36,062.40 | $727.51 – $3,063.20 |
| UPMC Community Osteopathic | Harrisburg | $6,785.40 | $1,738.13 – $9,612.65 |
| UPMC East | Monroeville | $13,898.40 | $50.50 – $1,738.13 |
| UPMC Hamot | Erie | $36,163.80 | $1,700.71 – $1,700.71 |
| UPMC Northwest | Seneca | $3,649.20 | $2,103.29 – $4,413.99 |
| UPMC Jameson | New Castle | $4,727.40 | $136.85 – $1,738.13 |
| UPMC Magee | Pittsburgh | $3,339.00 | $150.53 – $1,738.13 |
| UPMC Mercy | Pittsburgh | $40,462.20 | $1,372.50 – $1,700.71 |