Infectious agent nucleic acid quantification bk virus at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$238.80
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.
$398.00
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.
$34.23 with United Healthcare Community Plan for Families vs $338.30 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $34.23 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $44.31 | ↓ -81% |
| Aetna | Medicare | $44.68 | ↓ -81% |
| Cigna | Medicare | $44.98 | ↓ -81% |
| Geisinger | Medicare | $44.98 | ↓ -81% |
| United Healthcare | Medicare | $45.84 | ↓ -81% |
| United Healthcare | Commercial | $52.00 | ↓ -78% |
| Prime Net | Managed Medicare | $65.67 | ↓ -73% |
| Keystone Autism Services | ACAP | $68.54 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $79.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $79.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $92.67 | ↓ -61% |
| Cigna | Commercial | $111.40 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $141.90 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $150.98 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $163.18 | ↓ -32% |
| Aetna | ACO | $164.37 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $189.85 | ↓ -20% |
| Aetna | Commercial | $191.04 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $218.90 | ↓ -8% |
| Geisinger | Commercial | $260.61 | ↑ +9% |
| UPMC Health Plan | Commercial | $278.60 | ↑ +17% |
| Wellspan Population Health | Commercial | $278.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $296.51 | ↑ +24% |
| Capital Blue Cross | Commercial | $309.86 | ↑ +30% |
| Keystone Health Plan | Commercial | $309.86 | ↑ +30% |
| Capital Blue Cross | CHIP | $309.86 | ↑ +30% |
| UPMC Health Plan | CHIP | $315.28 | ↑ +32% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $338.30 | ↑ +42% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification bk virus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $427.20 | $42.34 – $569.60 |
| UPMC Bedford | Everett | $254.40 | $15.46 – $381.60 |
| UPMC Carlisle | Carlisle | $238.80 | $23.56 – $338.30 |
| UPMC Cole | Coudersport | $584.40 | $27.85 – $779.20 |
| UPMC Community Osteopathic | Harrisburg | $238.80 | $34.23 – $315.28 |
| UPMC East | Monroeville | $879.00 | $42.34 – $1,172.00 |
| UPMC Hamot | Erie | $719.40 | $42.34 – $113.70 |
| UPMC Northwest | Seneca | $385.80 | $38.85 – $46.27 |