Iliac revasc add-on 37222 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$8,640.60
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.
$14,401.00
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.
$208.32 with United Healthcare Community Plan for Families vs $15,450.75 with Capital Blue Cross — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $208.32 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $1,341.14 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $1,413.66 | ↓ -84% |
| Prime Net | Managed Medicare | $2,376.16 | ↓ -73% |
| Aetna | Medicare | $2,865.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,880.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2,880.20 | ↓ -67% |
| UPMC Health Plan | CHIP | $5,252.13 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $5,904.41 | ↓ -32% |
| Aetna | ACO | $5,947.61 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $6,869.28 | ↓ -20% |
| Aetna | Commercial | $6,912.48 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $7,920.55 | ↓ -8% |
| Geisinger | Commercial | $9,429.77 | ↑ +9% |
| Keystone Health Plan | Commercial | $9,437.40 | ↑ +9% |
| Cigna | Commercial | $9,539.00 | ↑ +10% |
| UPMC Health Plan | Commercial | $10,080.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $10,080.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $10,728.75 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $12,240.85 | ↑ +42% |
| Capital Blue Cross | CHIP | $15,450.75 | ↑ +79% |
| Capital Blue Cross | Commercial | $15,450.75 | ↑ +79% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Iliac revasc add-on 37222 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,576.40 | $1,350.83 – $15,435.20 |
| UPMC Carlisle | Carlisle | $8,640.60 | $208.32 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $8,640.60 | $208.32 – $12,240.85 |
| UPMC East | Monroeville | $8,494.80 | $1,350.83 – $11,326.40 |
| UPMC Hamot | Erie | $8,583.60 | $1,350.83 – $6,520.70 |
| UPMC Northwest | Seneca | $10,123.20 | $1,350.83 – $4,270.66 |
| UPMC Hanover | Hanover | $8,640.60 | $208.32 – $5,252.13 |
| UPMC Lititz | Lititz | $8,640.60 | $208.32 – $5,252.13 |