Ghs inf midline insertion at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$4,321.20
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.
$7,202.00
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.
$94.94 with Aetna vs $9,539.00 with Cigna — 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 | $94.94 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $121.50 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $121.50 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $124.37 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $130.30 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $139.35 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $417.88 | ↓ -90% |
| Highmark BCBS of PA | Medicare | $682.16 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -76% |
| Prime Net | Managed Medicare | $1,188.33 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,440.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,440.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $2,638.78 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $2,952.82 | ↓ -32% |
| Aetna | ACO | $2,974.43 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $3,435.35 | ↓ -21% |
| Aetna | Commercial | $3,456.96 | ↓ -20% |
| Capital Blue Cross | CHIP | $4,360.09 | ↑ +1% |
| Capital Blue Cross | Commercial | $4,360.09 | ↑ +1% |
| Keystone Health Plan | Commercial | $4,578.31 | ↑ +6% |
| Geisinger | Commercial | $4,715.87 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,041.40 | ↑ +17% |
| Wellspan Population Health | Commercial | $5,041.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,365.49 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,121.70 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +121% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ghs inf midline insertion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,882.80 | $95.67 – $2,510.40 |
| UPMC Bedford | Everett | $5,790.00 | $100.45 – $8,685.00 |
| UPMC Carlisle | Carlisle | $4,321.20 | $121.50 – $9,539.00 |
| UPMC Cole | Coudersport | $1,941.60 | $64.03 – $906.08 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $121.50 – $6,121.70 |
| UPMC East | Monroeville | $3,504.60 | $105.24 – $4,672.80 |
| UPMC Hamot | Erie | $3,559.20 | $105.24 – $836.96 |
| UPMC Northwest | Seneca | $5,299.20 | $105.24 – $2,172.24 |