Icd reliance df4 ib 64cm at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$18,804.00
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.
$31,340.00
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.
$1,297.97 with Aetna vs $26,639.00 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 | $1,297.97 | ↓ -93% |
| Highmark BCBS of PA | Medicare | $3,767.52 | ↓ -80% |
| Prime Net | Managed Medicare | $5,171.10 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $6,268.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $6,268.00 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $10,342.20 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10,445.62 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $11,909.20 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $12,849.40 | ↓ -32% |
| Aetna | ACO | $12,943.42 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $14,949.18 | ↓ -21% |
| Aetna | Commercial | $15,043.20 | ↓ -20% |
| Capital Blue Cross | CHIP | $18,973.24 | ↑ +1% |
| Capital Blue Cross | Commercial | $18,973.24 | ↑ +1% |
| United Healthcare | Commercial | $19,305.44 | ↑ +3% |
| Keystone Health Plan | Commercial | $19,922.84 | ↑ +6% |
| Geisinger | Commercial | $20,521.43 | ↑ +9% |
| UPMC Health Plan | CHIP | $21,560.95 | ↑ +15% |
| UPMC Health Plan | Commercial | $21,938.00 | ↑ +17% |
| Wellspan Population Health | Commercial | $21,938.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $23,348.30 | ↑ +24% |
| Cigna | Commercial | $24,445.20 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $26,639.00 | ↑ +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 reliance df4 ib 64cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,722.00 | $2,045.54 – $21,560.95 |
| UPMC Community Osteopathic | Harrisburg | $18,804.00 | $6,268.00 – $26,639.00 |
| UPMC Hamot | Erie | $48,679.20 | $4,622.48 – $4,622.48 |
| UPMC Mercy | Pittsburgh | $15,159.00 | $4,622.48 – $17,025.45 |
| UPMC Passavant-McCandless | Pittsburgh | $24,073.20 | $4,666.50 – $31,287.64 |
| UPMC Presbyterian | Pittsburgh | $68,619.60 | $4,666.50 – $34,860.21 |
| UPMC Somerset | Somerset | $18,804.00 | $4,575.73 – $12,914.24 |
| UPMC Williamsport | Williamsport | $14,973.00 | $4,991.00 – $22,459.50 |