Inj for ext venography at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,152.60
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.
$1,921.00
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.
$50.68 with Aetna vs $9,539.00 with Cigna — 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 | $50.68 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.44 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.44 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $56.74 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $57.18 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $59.45 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $63.58 | ↓ -94% |
| Highmark BCBS of PA | Medicare | $75.75 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $161.36 | ↓ -86% |
| UPMC Health Plan | CHIP | $283.86 | ↓ -75% |
| Prime Net | Managed Medicare | $316.96 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $384.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $384.20 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $787.61 | ↓ -32% |
| Aetna | ACO | $793.37 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $916.32 | ↓ -20% |
| Aetna | Commercial | $922.08 | ↓ -20% |
| Geisinger | Commercial | $1,257.87 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,344.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,344.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,431.14 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,632.85 | ↑ +42% |
| Capital Blue Cross | CHIP | $9,437.40 | ↑ +719% |
| Keystone Health Plan | Commercial | $9,437.40 | ↑ +719% |
| Capital Blue Cross | Commercial | $9,437.40 | ↑ +719% |
| Cigna | Commercial | $9,539.00 | ↑ +728% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Inj for ext venography at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $289.80 | $43.65 – $386.40 |
| UPMC Carlisle | Carlisle | $1,152.60 | $55.44 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $1,152.60 | $55.44 – $1,632.85 |
| UPMC East | Monroeville | $388.80 | $48.02 – $518.40 |
| UPMC Hamot | Erie | $672.00 | $48.02 – $118.71 |
| UPMC Northwest | Seneca | $306.60 | $48.02 – $241.22 |
| UPMC Hanover | Hanover | $1,152.60 | $55.44 – $161.36 |
| UPMC Horizon-Greenville | Greenville | $292.80 | $45.83 – $180.81 |