Ghs polysom <6 yrs 4/> parameters at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$5,327.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$8,879.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$583.15 with Highmark BCBS of PA vs $7,547.15 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 →

Payer
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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
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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 BCBS of PA Medicare $583.15 ↓ -89%
United Healthcare Community Plan for Families PA Medicaid $879.40 ↓ -83%
UPMC Health Plan CHIP $922.88 ↓ -83%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $979.45 ↓ -82%
Highmark Wholecare (prev Gateway) Medicaid $979.45 ↓ -82%
UPMC Health Plan Managed Medicaid $1,002.59 ↓ -81%
Aetna Medicare $1,017.53 ↓ -81%
Cigna Medicare $1,024.36 ↓ -81%
Geisinger Medicare $1,024.36 ↓ -81%
United Healthcare Medicare $1,043.87 ↓ -80%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $1,050.40 ↓ -80%
Geisinger Medicaid/CHIP $1,123.36 ↓ -79%
UPMC Work Partners Workers Comp $1,439.89 ↓ -73%
Prime Net Managed Medicare $1,465.04 ↓ -72%
Keystone Autism Services ACAP $1,560.93 ↓ -71%
Keystone Health Plan Medicare Advantage $1,775.80 ↓ -67%
Capital Blue Cross Medicare Advantage $1,775.80 ↓ -67%
Keystone Health Plan Commercial $2,148.30 ↓ -60%
Capital Blue Cross CHIP $2,148.30 ↓ -60%
Capital Blue Cross Commercial $2,148.30 ↓ -60%
Highmark BCBS of PA Medicaid $3,231.51 ↓ -39%
Highmark BCBS of PA Commercial $3,438.14 ↓ -35%
Prime Net ACO/Legacy Commercial $3,640.39 ↓ -32%
Aetna ACO $3,667.03 ↓ -31%
United Healthcare Commercial $3,865.00 ↓ -27%
Prime Net GateKeeper/NonGateKeeper $4,235.28 ↓ -21%
Aetna Commercial $4,261.92 ↓ -20%
Geisinger Commercial $5,813.97 ↑ +9%
Wellspan Population Health Commercial $6,215.30 ↑ +17%
UPMC Health Plan Commercial $6,215.30 ↑ +17%
Prime Net FH-Medical Rental $6,614.85 ↑ +24%
Cigna Commercial $6,925.62 ↑ +30%
Multiplan PPO (Includes PHCS and Humana as Payers) $7,547.15 ↑ +42%
Tricare East Region not published by hospital

Visitor-reported prices

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Ghs polysom <6 yrs 4/> parameters at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $5,327.40 $879.40 – $7,547.15
UPMC Hanover Hanover $5,327.40 $879.40 – $1,555.06
UPMC Lititz Lititz $5,327.40 $879.40 – $1,563.46
UPMC Wellsboro Wellsboro $4,187.20 $848.34 – $1,375.90
WellSpan Chambersburg Hospital Chambersburg $4,918.40 $964.02 – $4,679.08
Uniontown Hospital Uniontown $3,217.00 $90.08 – $1,728.77

All Pennsylvania hospitals for this procedure →