Ghs nailbed repair/nail removal at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,236.60
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.
?
What you pay up front if you don't use insurance.
$2,061.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.21 with AmeriHealth Caritas vs $2,577.75 with Keystone Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $29.21 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.21 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $29.90 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $31.33 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $33.50 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $191.27 | ↓ -85% |
| Prime Net | Managed Medicare | $340.06 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $412.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $412.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $444.23 | ↓ -64% |
| Aetna | Medicare | $612.21 | ↓ -50% |
| Geisinger | Medicare | $616.32 | ↓ -50% |
| Cigna | Medicare | $616.32 | ↓ -50% |
| United Healthcare | Medicare | $628.06 | ↓ -49% |
| Prime Net | ACO/Legacy Commercial | $845.01 | ↓ -32% |
| Aetna | ACO | $851.19 | ↓ -31% |
| Keystone Autism Services | ACAP | $939.15 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $983.10 | ↓ -20% |
| Aetna | Commercial | $989.28 | ↓ -20% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -18% |
| Geisinger | Commercial | $1,349.54 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,442.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,442.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,535.44 | ↑ +24% |
| Cigna | Commercial | $1,607.58 | ↑ +30% |
| UPMC Health Plan | CHIP | $1,730.23 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,751.85 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $1,944.28 | ↑ +57% |
| Highmark BCBS of PA | Commercial | $2,068.60 | ↑ +67% |
| Capital Blue Cross | Commercial | $2,577.75 | ↑ +108% |
| Capital Blue Cross | CHIP | $2,577.75 | ↑ +108% |
| Keystone Health Plan | Commercial | $2,577.75 | ↑ +108% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ghs nailbed repair/nail removal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,425.80 | $23.00 – $3,234.40 |
| UPMC Bedford | Everett | $1,214.40 | $24.15 – $1,821.60 |
| UPMC Carlisle | Carlisle | $1,236.60 | $29.21 – $1,751.85 |
| UPMC Cole | Coudersport | $1,266.00 | $24.15 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,236.60 | $29.21 – $1,751.85 |
| UPMC East | Monroeville | $2,281.20 | $25.30 – $3,041.60 |
| UPMC Hamot | Erie | $2,334.00 | $25.30 – $848.80 |
| UPMC Northwest | Seneca | $1,632.60 | $25.30 – $612.77 |