Injection of sinus tract at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,046.00
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.
$3,410.00
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.
$44.45 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 | $44.45 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $45.45 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $45.50 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $45.85 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.25 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.67 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $50.98 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $141.66 | ↓ -93% |
| UPMC Health Plan | CHIP | $165.20 | ↓ -92% |
| Prime Net | Managed Medicare | $562.65 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $682.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $682.00 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $1,398.10 | ↓ -32% |
| Aetna | ACO | $1,408.33 | ↓ -31% |
| Aetna | Medicare | $1,481.48 | ↓ -28% |
| Geisinger | Medicare | $1,491.42 | ↓ -27% |
| Cigna | Medicare | $1,491.42 | ↓ -27% |
| United Healthcare | Medicare | $1,519.83 | ↓ -26% |
| Prime Net | GateKeeper/NonGateKeeper | $1,626.57 | ↓ -21% |
| Aetna | Commercial | $1,636.80 | ↓ -20% |
| Geisinger | Commercial | $2,232.87 | ↑ +9% |
| Keystone Autism Services | ACAP | $2,272.64 | ↑ +11% |
| UPMC Health Plan | Commercial | $2,387.00 | ↑ +17% |
| Wellspan Population Health | Commercial | $2,387.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,540.45 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,898.50 | ↑ +42% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +45% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +45% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $4,704.93 | ↑ +130% |
| Highmark BCBS of PA | Commercial | $5,005.77 | ↑ +145% |
| Cigna | Commercial | $9,539.00 | ↑ +366% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Injection of sinus tract at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,046.00 | $44.45 – $2,898.50 |
| UPMC Community Osteopathic | Harrisburg | $2,046.00 | $45.85 – $2,898.50 |
| UPMC Hanover | Hanover | $2,046.00 | $44.45 – $2,264.11 |
| UPMC Lititz | Lititz | $2,046.00 | $44.45 – $2,276.34 |
| UPMC Somerset | Somerset | $2,046.00 | $38.50 – $1,412.22 |
| UPMC Williamsport | Williamsport | $343.20 | $38.50 – $1,511.08 |