Icd crtp serena MRI at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$24,360.60
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.
$40,601.00
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.
$3,640.47 with Aetna vs $34,510.85 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 →
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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 | $3,640.47 | ↓ -85% |
| Highmark BCBS of PA | Medicare | $5,006.38 | ↓ -79% |
| Prime Net | Managed Medicare | $6,699.16 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $8,120.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $8,120.20 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $13,398.33 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13,532.31 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15,428.38 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $16,646.41 | ↓ -32% |
| Aetna | ACO | $16,768.21 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $19,366.68 | ↓ -20% |
| Aetna | Commercial | $19,488.48 | ↓ -20% |
| Capital Blue Cross | CHIP | $24,579.85 | ↑ +1% |
| Capital Blue Cross | Commercial | $24,579.85 | ↑ +1% |
| United Healthcare | Commercial | $25,010.22 | ↑ +3% |
| Keystone Health Plan | Commercial | $25,810.06 | ↑ +6% |
| Geisinger | Commercial | $26,585.53 | ↑ +9% |
| UPMC Health Plan | Commercial | $28,420.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $28,420.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $30,247.74 | ↑ +24% |
| Cigna | Commercial | $31,668.78 | ↑ +30% |
| UPMC Health Plan | CHIP | $32,964.74 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $34,510.85 | ↑ +42% |
| 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 crtp serena MRI at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $24,591.00 | $3,865.36 – $32,964.74 |
| UPMC Bedford | Everett | $13,146.00 | $3,912.29 – $32,964.74 |
| UPMC Cole | Coudersport | $5,940.00 | $1,881.00 – $7,920.00 |
| UPMC Community Osteopathic | Harrisburg | $24,360.60 | $8,120.20 – $34,510.85 |
| UPMC East | Monroeville | $47,350.20 | $6,200.97 – $63,133.60 |
| UPMC Hamot | Erie | $34,519.80 | $6,142.48 – $6,142.48 |
| UPMC Mercy | Pittsburgh | $30,396.60 | $6,142.48 – $26,030.37 |
| UPMC Passavant-McCandless | Pittsburgh | $39,481.20 | $6,200.97 – $47,835.95 |