Infect ag na hep b amp at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$126.60
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.
$211.00
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.
$28.03 with United Healthcare Community Plan for Families vs $253.92 with Keystone 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $28.03 | ↓ -78% |
| Prime Net | Managed Medicare | $34.81 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $36.29 | ↓ -71% |
| Aetna | Medicare | $36.60 | ↓ -71% |
| Cigna | Medicare | $36.84 | ↓ -71% |
| Geisinger | Medicare | $36.84 | ↓ -71% |
| United Healthcare | Medicare | $37.55 | ↓ -70% |
| United Healthcare | Commercial | $42.11 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $42.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $42.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $56.14 | ↓ -56% |
| Highmark BCBS of PA | Medicare | $73.48 | ↓ -42% |
| Prime Net | ACO/Legacy Commercial | $86.51 | ↓ -32% |
| Aetna | ACO | $87.14 | ↓ -31% |
| Cigna | Commercial | $91.24 | ↓ -28% |
| Prime Net | GateKeeper/NonGateKeeper | $100.65 | ↓ -20% |
| Aetna | Commercial | $101.28 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $116.05 | ↓ -8% |
| Highmark BCBS of PA | Medicaid | $116.23 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $123.66 | ↓ -2% |
| Geisinger | Commercial | $138.16 | ↑ +9% |
| UPMC Health Plan | Commercial | $147.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $147.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $157.19 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $179.35 | ↑ +42% |
| UPMC Health Plan | CHIP | $247.63 | ↑ +96% |
| Capital Blue Cross | CHIP | $253.92 | ↑ +101% |
| Capital Blue Cross | Commercial | $253.92 | ↑ +101% |
| Keystone Health Plan | Commercial | $253.92 | ↑ +101% |
Visitor-reported prices
Comments
Infect ag na hep b amp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $126.60 | $19.30 – $179.35 |
| UPMC Community Osteopathic | Harrisburg | $126.60 | $28.03 – $247.63 |
| UPMC Hanover | Hanover | $126.60 | $28.03 – $247.63 |
| UPMC Lititz | Lititz | $126.60 | $28.03 – $247.63 |
| UPMC Magee | Pittsburgh | $269.40 | $32.84 – $91.01 |
| UPMC Passavant-McCandless | Pittsburgh | $374.40 | $32.61 – $91.01 |
| UPMC Presbyterian | Pittsburgh | $440.40 | $25.68 – $91.01 |
| UPMC Somerset | Somerset | $126.60 | $24.61 – $37.89 |