Injection jaw joint x-ray at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$67.80
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.
?
What you pay up front if you don't use insurance.
$113.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.64 with Prime Net vs $9,539.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $18.64 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $22.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $22.60 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.75 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $32.50 | ↓ -52% |
| United Healthcare Community Plan for Families | PA Medicaid | $32.75 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.75 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $34.05 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $36.41 | ↓ -46% |
| Aetna | Medicare | $40.74 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $46.33 | ↓ -32% |
| Aetna | ACO | $46.67 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $53.90 | ↓ -21% |
| Aetna | Commercial | $54.24 | ↓ -20% |
| Capital Blue Cross | CHIP | $68.41 | ↑ +1% |
| Capital Blue Cross | Commercial | $68.41 | ↑ +1% |
| Keystone Health Plan | Commercial | $71.83 | ↑ +6% |
| Geisinger | Commercial | $73.99 | ↑ +9% |
| Wellspan Population Health | Commercial | $79.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $79.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $84.19 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $96.05 | ↑ +42% |
| Highmark BCBS of PA | Medicare | $106.05 | ↑ +56% |
| UPMC Work Partners | Workers Comp | $152.81 | ↑ +125% |
| UPMC Health Plan | CHIP | $400.79 | ↑ +491% |
| Cigna | Commercial | $9,539.00 | ↑ +13969% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Injection jaw joint x-ray at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $67.80 | $15.48 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $67.80 | $22.60 – $537.10 |
| UPMC Hanover | Hanover | $67.80 | $31.75 – $152.81 |
| UPMC Lititz | Lititz | $67.80 | $31.75 – $151.00 |
| UPMC Muncy | Muncy | $969.00 | $27.50 – $152.32 |
| UPMC Somerset | Somerset | $67.80 | $27.50 – $144.29 |
| UPMC Wellsboro | Wellsboro | $1,172.00 | $27.50 – $144.29 |