Ins/rpl wireless pulm art sensor incl s&i at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$43,233.60
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.
$72,056.00
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.
$168.80 with Highmark BCBS of PA vs $96,069.45 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 | $168.80 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $429.89 | ↓ -99% |
| Keystone Health Plan | Commercial | $9,437.40 | ↓ -78% |
| Prime Net | Managed Medicare | $11,889.24 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $14,411.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $14,411.20 | ↓ -67% |
| Cigna | Commercial | $17,298.00 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $21,819.56 | ↓ -50% |
| Capital Blue Cross | Commercial | $22,309.35 | ↓ -48% |
| Capital Blue Cross | CHIP | $22,309.35 | ↓ -48% |
| Aetna | Medicare | $28,432.11 | ↓ -34% |
| Geisinger | Medicare | $28,622.93 | ↓ -34% |
| Cigna | Medicare | $28,622.93 | ↓ -34% |
| United Healthcare | Medicare | $29,168.13 | ↓ -33% |
| Prime Net | ACO/Legacy Commercial | $29,542.96 | ↓ -32% |
| Prime Net | GateKeeper/NonGateKeeper | $34,370.71 | ↓ -21% |
| Aetna | ACO | $35,163.33 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $39,630.80 | ↓ -8% |
| Aetna | Commercial | $40,927.81 | ↓ -5% |
| Keystone Autism Services | ACAP | $43,615.89 | ↑ +1% |
| Geisinger | Commercial | $47,182.27 | ↑ +9% |
| UPMC Health Plan | Commercial | $50,439.20 | ↑ +17% |
| Wellspan Population Health | Commercial | $50,439.20 | ↑ +17% |
| UPMC Health Plan | CHIP | $50,439.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $53,681.72 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $61,247.60 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $90,295.79 | ↑ +109% |
| Highmark BCBS of PA | Commercial | $96,069.45 | ↑ +122% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Ins/rpl wireless pulm art sensor incl s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $43,233.60 | $429.89 – $61,247.60 |
| UPMC Community Osteopathic | Harrisburg | $43,233.60 | $429.89 – $61,247.60 |
| UPMC Hanover | Hanover | $43,233.60 | $429.89 – $43,452.13 |
| UPMC Lititz | Lititz | $43,233.60 | $429.89 – $43,686.83 |
| UPMC Passavant-McCandless | Pittsburgh | $8,658.00 | $209.08 – $29,813.30 |
| UPMC Presbyterian | Pittsburgh | $10,953.00 | $209.08 – $29,813.30 |
| UPMC Somerset | Somerset | $43,233.60 | $205.01 – $29,268.53 |
| WellSpan Ephrata Community Hospital | Ephrata | $58,797.60 | $21,321.25 – $28,428.33 |