Icd crtd cobalt hf MRI is1 df1 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$45,067.20
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.
$75,112.00
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.
$12,087.27 with Aetna vs $89,600.45 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 | $12,087.27 | ↓ -73% |
| Prime Net | Managed Medicare | $12,393.48 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $13,220.74 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $15,022.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $15,022.40 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $24,786.96 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $25,034.83 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $28,542.56 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $30,795.92 | ↓ -32% |
| Aetna | ACO | $31,021.26 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $35,828.42 | ↓ -21% |
| Aetna | Commercial | $36,053.76 | ↓ -20% |
| Capital Blue Cross | CHIP | $45,472.80 | ↑ +1% |
| Capital Blue Cross | Commercial | $45,472.80 | ↑ +1% |
| United Healthcare | Commercial | $46,268.99 | ↑ +3% |
| Keystone Health Plan | Commercial | $47,748.70 | ↑ +6% |
| Geisinger | Commercial | $49,183.34 | ↑ +9% |
| UPMC Health Plan | Commercial | $52,578.40 | ↑ +17% |
| Wellspan Population Health | Commercial | $52,578.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $55,958.44 | ↑ +24% |
| Cigna | Commercial | $58,587.36 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $63,845.20 | ↑ +42% |
| UPMC Health Plan | CHIP | $89,600.45 | ↑ +99% |
| 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 crtd cobalt hf MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $59,517.00 | $8,750.64 – $89,600.45 |
| UPMC Bedford | Everett | $33,876.00 | $8,462.03 – $89,600.45 |
| UPMC Cole | Coudersport | $33,408.60 | $10,579.39 – $44,544.80 |
| UPMC Community Osteopathic | Harrisburg | $45,067.20 | $15,022.40 – $89,600.45 |
| UPMC East | Monroeville | $132,543.60 | $9,207.59 – $89,600.45 |
| UPMC Hamot | Erie | $143,409.00 | $16,220.93 – $16,220.93 |
| UPMC Northwest | Seneca | $40,346.40 | $42,099.54 – $108,424.54 |
| UPMC Mercy | Pittsburgh | $60,282.00 | $16,220.93 – $70,752.35 |