Gw stiffened micro access kit at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,252.80
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.
?
What you pay up front if you don't use insurance.
$2,088.00
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.
$4.46 with Prime Net vs $418.71 with UPMC 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $4.46 | ↓ -100% |
| Capital Blue Cross | Medicare Advantage | $5.40 | ↓ -100% |
| Keystone Health Plan | Medicare Advantage | $5.40 | ↓ -100% |
| Prime Net | ACO/Legacy Commercial | $11.07 | ↓ -99% |
| Aetna | ACO | $11.15 | ↓ -99% |
| Prime Net | GateKeeper/NonGateKeeper | $12.88 | ↓ -99% |
| Aetna | Commercial | $12.96 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $14.85 | ↓ -99% |
| Capital Blue Cross | Commercial | $16.35 | ↓ -99% |
| Capital Blue Cross | CHIP | $16.35 | ↓ -99% |
| Keystone Health Plan | Commercial | $17.16 | ↓ -99% |
| Geisinger | Commercial | $17.68 | ↓ -99% |
| Wellspan Population Health | Commercial | $18.90 | ↓ -98% |
| UPMC Health Plan | Commercial | $18.90 | ↓ -98% |
| United Healthcare | Commercial | $19.87 | ↓ -98% |
| Prime Net | FH-Medical Rental | $20.11 | ↓ -98% |
| Cigna | Commercial | $21.06 | ↓ -98% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $22.95 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $39.04 | ↓ -97% |
| Aetna | Medicare | $82.29 | ↓ -93% |
| UPMC Health Plan | CHIP | $418.71 | ↓ -67% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Gw stiffened micro access kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,307.80 | $28.50 – $418.71 |
| UPMC Bedford | Everett | $557.40 | $60.75 – $418.71 |
| UPMC Community Osteopathic | Harrisburg | $1,252.80 | $5.40 – $418.71 |
| UPMC East | Monroeville | $8,089.80 | $7.75 – $418.71 |
| UPMC Hamot | Erie | $3,858.60 | $47.90 – $47.90 |
| UPMC Northwest | Seneca | $496.80 | $124.32 – $506.68 |
| UPMC Horizon-Greenville | Greenville | $1,013.40 | $122.08 – $418.71 |
| UPMC Jameson | New Castle | $777.00 | $48.75 – $418.71 |