I131 iodide cap, rx at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$184.20
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.
$307.00
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.
$24.12 with Aetna vs $471.30 with UPMC Health Plan — 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 | $24.12 | ↓ -87% |
| Geisinger | Medicare | $24.29 | ↓ -87% |
| Cigna | Medicare | $24.29 | ↓ -87% |
| United Healthcare | Medicare | $24.75 | ↓ -87% |
| Keystone Autism Services | ACAP | $37.01 | ↓ -80% |
| Capital Blue Cross | CHIP | $44.36 | ↓ -76% |
| Capital Blue Cross | Commercial | $44.36 | ↓ -76% |
| Keystone Health Plan | Commercial | $46.58 | ↓ -75% |
| Prime Net | Managed Medicare | $50.66 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $61.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $61.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $61.66 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $76.62 | ↓ -58% |
| Cigna | Commercial | $78.10 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $81.51 | ↓ -56% |
| Prime Net | ACO/Legacy Commercial | $125.87 | ↓ -32% |
| Aetna | ACO | $126.79 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $146.44 | ↓ -20% |
| Aetna | Commercial | $147.36 | ↓ -20% |
| United Healthcare | Commercial | $149.86 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $168.85 | ↓ -8% |
| Geisinger | Commercial | $201.02 | ↑ +9% |
| Wellspan Population Health | Commercial | $214.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $214.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $228.72 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $260.95 | ↑ +42% |
| UPMC Health Plan | CHIP | $471.30 | ↑ +156% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
I131 iodide cap, rx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $352.20 | $23.59 – $469.60 |
| UPMC Carlisle | Carlisle | $184.20 | $12.72 – $260.95 |
| UPMC Community Osteopathic | Harrisburg | $184.20 | $22.90 – $471.30 |
| UPMC Hamot | Erie | $673.80 | $23.13 – $40.70 |
| UPMC Northwest | Seneca | $706.80 | $20.98 – $24.98 |
| UPMC Hanover | Hanover | $184.20 | $22.90 – $471.30 |
| UPMC Horizon-Greenville | Greenville | $706.80 | $20.71 – $43.40 |
| UPMC Jameson | New Castle | $369.60 | $23.13 – $76.99 |