Ghs ed peritoneal lavage w guidance if performed at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,660.40
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.
$4,434.00
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.
$98.58 with AmeriHealth Caritas vs $3,768.90 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $98.58 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $98.58 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $100.91 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $105.72 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $113.06 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $149.68 | ↓ -94% |
| Highmark BCBS of PA | Medicare | $682.54 | ↓ -74% |
| Prime Net | Managed Medicare | $731.61 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $886.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $886.80 | ↓ -67% |
| Aetna | Medicare | $937.69 | ↓ -65% |
| Cigna | Medicare | $943.98 | ↓ -65% |
| Geisinger | Medicare | $943.98 | ↓ -65% |
| United Healthcare | Medicare | $961.96 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -62% |
| Keystone Autism Services | ACAP | $1,438.45 | ↓ -46% |
| Prime Net | ACO/Legacy Commercial | $1,817.94 | ↓ -32% |
| UPMC Health Plan | CHIP | $1,828.74 | ↓ -31% |
| Aetna | ACO | $1,831.24 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $2,115.02 | ↓ -20% |
| Aetna | Commercial | $2,128.32 | ↓ -20% |
| Keystone Health Plan | Commercial | $2,577.75 | ↓ -3% |
| Capital Blue Cross | CHIP | $2,577.75 | ↓ -3% |
| Capital Blue Cross | Commercial | $2,577.75 | ↓ -3% |
| Geisinger | Commercial | $2,903.38 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $2,977.95 | ↑ +12% |
| Wellspan Population Health | Commercial | $3,103.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $3,103.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $3,168.36 | ↑ +19% |
| Prime Net | FH-Medical Rental | $3,303.33 | ↑ +24% |
| Cigna | Commercial | $3,458.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,768.90 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ed peritoneal lavage w guidance if performed at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,431.80 | $77.62 – $7,242.40 |
| UPMC Carlisle | Carlisle | $2,660.40 | $98.58 – $3,768.90 |
| UPMC Community Osteopathic | Harrisburg | $2,660.40 | $98.58 – $3,768.90 |
| UPMC Northwest | Seneca | $5,218.20 | $85.38 – $938.54 |
| UPMC Hanover | Hanover | $2,660.40 | $98.58 – $1,433.04 |
| UPMC Jameson | New Castle | $3,890.40 | $85.38 – $1,206.70 |
| UPMC Lititz | Lititz | $2,660.40 | $98.58 – $1,440.78 |
| UPMC Mercy | Pittsburgh | $3,763.20 | $85.38 – $983.24 |