Ins lv lead exist pm/icd at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$15,540.60
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.
$25,901.00
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.
$755.77 with Highmark BCBS of PA vs $35,366.05 with Highmark BCBS of PA — 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 BCBS of PA | Medicare | $755.77 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $961.47 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -93% |
| Prime Net | Managed Medicare | $4,273.66 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $5,180.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $5,180.20 | ↓ -67% |
| Keystone Health Plan | Commercial | $9,437.40 | ↓ -39% |
| Aetna | Medicare | $10,466.71 | ↓ -33% |
| Cigna | Medicare | $10,536.96 | ↓ -32% |
| Geisinger | Medicare | $10,536.96 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $10,619.41 | ↓ -32% |
| Aetna | ACO | $10,697.11 | ↓ -31% |
| United Healthcare | Medicare | $10,737.66 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $12,354.78 | ↓ -20% |
| Aetna | Commercial | $12,432.48 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $14,245.55 | ↓ -8% |
| Keystone Autism Services | ACAP | $16,056.32 | ↑ +3% |
| Geisinger | Commercial | $16,959.97 | ↑ +9% |
| Cigna | Commercial | $17,298.00 | ↑ +11% |
| Wellspan Population Health | Commercial | $18,130.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $18,130.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $18,130.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $19,296.24 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $22,015.85 | ↑ +42% |
| Capital Blue Cross | CHIP | $22,309.35 | ↑ +44% |
| Capital Blue Cross | Commercial | $22,309.35 | ↑ +44% |
| Highmark BCBS of PA | Medicaid | $33,240.60 | ↑ +114% |
| Highmark BCBS of PA | Commercial | $35,366.05 | ↑ +128% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,358.40 | $918.74 – $10,775.64 |
| UPMC Carlisle | Carlisle | $15,540.60 | $961.47 – $22,015.85 |
| UPMC Community Osteopathic | Harrisburg | $15,540.60 | $961.47 – $22,015.85 |
| UPMC East | Monroeville | $3,883.80 | $918.74 – $10,775.64 |
| UPMC Hamot | Erie | $12,843.00 | $918.74 – $14,511.47 |
| UPMC Hanover | Hanover | $15,540.60 | $961.47 – $15,996.05 |
| UPMC Lititz | Lititz | $15,540.60 | $961.47 – $16,082.45 |
| UPMC Mercy | Pittsburgh | $28,245.60 | $927.28 – $10,975.18 |