Insert sq defib electrode at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$12,994.80
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.
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What you pay up front if you don't use insurance.
$21,658.00
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.
$268.94 with Highmark BCBS of PA vs $27,967.49 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 | $268.94 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $700.05 | ↓ -95% |
| Prime Net | Managed Medicare | $3,573.57 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $4,331.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,331.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $6,522.87 | ↓ -50% |
| Aetna | Medicare | $8,277.08 | ↓ -36% |
| Cigna | Medicare | $8,332.63 | ↓ -36% |
| Geisinger | Medicare | $8,332.63 | ↓ -36% |
| United Healthcare | Medicare | $8,491.35 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $8,879.78 | ↓ -32% |
| Aetna | ACO | $8,944.75 | ↓ -31% |
| Keystone Health Plan | Commercial | $9,437.40 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $10,330.87 | ↓ -20% |
| Aetna | Commercial | $10,395.84 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $11,911.90 | ↓ -8% |
| Keystone Autism Services | ACAP | $12,697.34 | ↓ -2% |
| Geisinger | Commercial | $14,181.66 | ↑ +9% |
| UPMC Health Plan | Commercial | $15,160.60 | ↑ +17% |
| Wellspan Population Health | Commercial | $15,160.60 | ↑ +17% |
| UPMC Health Plan | CHIP | $15,160.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $16,135.21 | ↑ +24% |
| Cigna | Commercial | $17,298.00 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $18,409.30 | ↑ +42% |
| Capital Blue Cross | Commercial | $22,309.35 | ↑ +72% |
| Capital Blue Cross | CHIP | $22,309.35 | ↑ +72% |
| Highmark BCBS of PA | Medicaid | $26,286.68 | ↑ +102% |
| Highmark BCBS of PA | Commercial | $27,967.49 | ↑ +115% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Insert sq defib electrode at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $12,994.80 | $700.05 – $18,409.30 |
| UPMC Community Osteopathic | Harrisburg | $12,994.80 | $700.05 – $18,409.30 |
| UPMC Hanover | Hanover | $12,994.80 | $700.05 – $12,649.66 |
| UPMC Lititz | Lititz | $12,994.80 | $700.05 – $12,718.00 |
| UPMC Mercy | Pittsburgh | $14,554.20 | $329.97 – $8,679.17 |
| UPMC Passavant-McCandless | Pittsburgh | $18,924.60 | $333.12 – $8,679.17 |
| UPMC Presbyterian | Pittsburgh | $20,059.80 | $333.12 – $8,679.17 |
| UPMC Somerset | Somerset | $12,994.80 | $326.64 – $8,520.57 |