Icd reliance df4 ib 64cm at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$18,804.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$31,340.00

Gross charge

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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.

Full explanation →

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 →

Payer
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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
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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

All Pennsylvania hospitals for this procedure →