Ghs fb removal - incisional at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,674.80
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.
$4,458.00
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.
$82.55 with Highmark Wholecare (prev Gateway) vs $5,475.37 with Highmark BCBS of PA — 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 | $82.55 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.55 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $84.50 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.53 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $94.68 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $361.27 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $594.82 | ↓ -78% |
| Prime Net | Managed Medicare | $735.57 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $891.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $891.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $943.20 | ↓ -65% |
| Aetna | Medicare | $1,620.46 | ↓ -39% |
| Geisinger | Medicare | $1,631.33 | ↓ -39% |
| Cigna | Medicare | $1,631.33 | ↓ -39% |
| United Healthcare | Medicare | $1,662.41 | ↓ -38% |
| Prime Net | ACO/Legacy Commercial | $1,827.78 | ↓ -32% |
| Aetna | ACO | $1,841.15 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $2,126.47 | ↓ -20% |
| Aetna | Commercial | $2,139.84 | ↓ -20% |
| UPMC Health Plan | CHIP | $2,296.95 | ↓ -14% |
| Keystone Autism Services | ACAP | $2,485.84 | ↓ -7% |
| Geisinger | Commercial | $2,919.10 | ↑ +9% |
| Wellspan Population Health | Commercial | $3,120.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $3,120.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,321.21 | ↑ +24% |
| Cigna | Commercial | $3,477.24 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,789.30 | ↑ +42% |
| Capital Blue Cross | Commercial | $4,172.70 | ↑ +56% |
| Keystone Health Plan | Commercial | $4,172.70 | ↑ +56% |
| Capital Blue Cross | CHIP | $4,172.70 | ↑ +56% |
| Highmark BCBS of PA | Medicaid | $5,146.31 | ↑ +92% |
| Highmark BCBS of PA | Commercial | $5,475.37 | ↑ +105% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Ghs fb removal - incisional at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,184.80 | $65.00 – $4,246.40 |
| UPMC Carlisle | Carlisle | $2,674.80 | $82.55 – $3,789.30 |
| UPMC Cole | Coudersport | $1,693.20 | $68.25 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $2,674.80 | $82.55 – $3,789.30 |
| UPMC Hamot | Erie | $3,097.80 | $71.50 – $2,246.66 |
| UPMC Hanover | Hanover | $2,674.80 | $82.55 – $2,476.51 |
| UPMC Horizon-Greenville | Greenville | $3,508.20 | $71.50 – $1,668.28 |
| UPMC Jameson | New Castle | $2,425.20 | $71.50 – $2,085.34 |