Icd cobalt xt dr MRI is1 df1 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$36,540.60
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.
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What you pay up front if you don't use insurance.
$60,901.00
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.
$5,000.00 with Aetna vs $85,343.66 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 | $5,000.00 | ↓ -86% |
| Prime Net | Managed Medicare | $10,048.67 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $12,180.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $12,180.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $13,915.06 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $20,097.33 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20,298.30 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23,142.38 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $24,969.41 | ↓ -32% |
| Aetna | ACO | $25,152.11 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $29,049.78 | ↓ -20% |
| Aetna | Commercial | $29,232.48 | ↓ -20% |
| Capital Blue Cross | CHIP | $36,869.47 | ↑ +1% |
| Capital Blue Cross | Commercial | $36,869.47 | ↑ +1% |
| United Healthcare | Commercial | $37,515.02 | ↑ +3% |
| Keystone Health Plan | Commercial | $38,714.77 | ↑ +6% |
| Geisinger | Commercial | $39,877.97 | ↑ +9% |
| UPMC Health Plan | Commercial | $42,630.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $42,630.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $45,371.25 | ↑ +24% |
| Cigna | Commercial | $47,502.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $51,765.85 | ↑ +42% |
| UPMC Health Plan | CHIP | $85,343.66 | ↑ +134% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
Visitor-reported prices
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Icd cobalt xt dr MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $41,422.80 | $6,391.60 – $85,343.66 |
| UPMC Bedford | Everett | $17,601.60 | $5,573.84 – $85,343.66 |
| UPMC Cole | Coudersport | $28,351.80 | $8,978.07 – $37,802.40 |
| UPMC Community Osteopathic | Harrisburg | $36,540.60 | $12,180.20 – $89,867.43 |
| UPMC East | Monroeville | $139,505.40 | $6,262.78 – $85,343.66 |
| UPMC Hamot | Erie | $117,676.80 | $17,072.82 – $17,072.82 |
| UPMC Mercy | Pittsburgh | $49,471.80 | $17,072.82 – $67,391.01 |
| UPMC Passavant-McCandless | Pittsburgh | $96,952.20 | $17,235.39 – $123,844.32 |