Inj scleros sol sgl vein at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,108.20
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.
$1,847.00
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.
$11.87 with Highmark Wholecare (prev Gateway) 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $11.87 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $12.15 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.25 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.62 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.73 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $13.62 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $111.80 | ↓ -90% |
| Highmark BCBS of PA | Medicare | $209.09 | ↓ -81% |
| UPMC Health Plan | CHIP | $252.84 | ↓ -77% |
| Prime Net | Managed Medicare | $304.75 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $369.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $369.40 | ↓ -67% |
| Aetna | Medicare | $399.58 | ↓ -64% |
| Cigna | Medicare | $402.27 | ↓ -64% |
| Geisinger | Medicare | $402.27 | ↓ -64% |
| United Healthcare | Medicare | $409.93 | ↓ -63% |
| Keystone Autism Services | ACAP | $612.98 | ↓ -45% |
| Prime Net | ACO/Legacy Commercial | $757.27 | ↓ -32% |
| Aetna | ACO | $762.81 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $881.02 | ↓ -20% |
| Aetna | Commercial | $886.56 | ↓ -20% |
| Geisinger | Commercial | $1,209.42 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $1,269.01 | ↑ +15% |
| Wellspan Population Health | Commercial | $1,292.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,292.90 | ↑ +17% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +18% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +18% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +18% |
| Highmark BCBS of PA | Commercial | $1,350.16 | ↑ +22% |
| Prime Net | FH-Medical Rental | $1,376.02 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,569.95 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +761% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Inj scleros sol sgl vein at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,108.20 | $12.25 – $1,569.95 |
| UPMC East | Monroeville | $1,416.60 | $10.29 – $1,888.80 |
| UPMC Hamot | Erie | $1,491.00 | $10.29 – $554.00 |
| UPMC Jameson | New Castle | $1,273.80 | $10.29 – $514.22 |
| UPMC Magee | Pittsburgh | $1,399.20 | $10.29 – $411.37 |
| UPMC McKeesport | Mckeesport | $1,246.20 | $10.29 – $399.94 |
| UPMC Mercy | Pittsburgh | $1,193.40 | $10.29 – $256.53 |
| UPMC Passavant-McCandless | Pittsburgh | $1,274.40 | $10.29 – $418.99 |