Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$48,933.60
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.
$81,556.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $108,347.48 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $1,293.95 | ↓ -97% |
| UPMC Health Plan | CHIP | $3,605.28 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $4,050.57 | ↓ -92% |
| Prime Net | Managed Medicare | $13,456.74 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $16,311.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $16,311.20 | ↓ -67% |
| Cigna | Commercial | $17,298.00 | ↓ -65% |
| Aetna | Medicare | $32,065.84 | ↓ -34% |
| Geisinger | Medicare | $32,281.04 | ↓ -34% |
| Cigna | Medicare | $32,281.04 | ↓ -34% |
| United Healthcare | Medicare | $32,895.92 | ↓ -33% |
| Prime Net | ACO/Legacy Commercial | $33,437.96 | ↓ -32% |
| Aetna | ACO | $33,682.63 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $38,902.21 | ↓ -21% |
| Aetna | Commercial | $39,146.88 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $44,855.80 | ↓ -8% |
| Keystone Autism Services | ACAP | $49,190.16 | ↑ +1% |
| Geisinger | Commercial | $53,402.87 | ↑ +9% |
| UPMC Health Plan | Commercial | $57,089.20 | ↑ +17% |
| Wellspan Population Health | Commercial | $57,089.20 | ↑ +17% |
| Keystone Health Plan | Commercial | $57,548.40 | ↑ +18% |
| Capital Blue Cross | Commercial | $57,548.40 | ↑ +18% |
| Capital Blue Cross | CHIP | $57,548.40 | ↑ +18% |
| Prime Net | FH-Medical Rental | $60,759.22 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $69,322.60 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $101,835.93 | ↑ +108% |
| Highmark BCBS of PA | Commercial | $108,347.48 | ↑ +121% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,433.20 | $1,587.58 – $33,012.22 |
| UPMC Carlisle | Carlisle | $48,933.60 | $1,016.56 – $69,322.60 |
| UPMC Community Osteopathic | Harrisburg | $48,933.60 | $1,016.56 – $69,322.60 |
| UPMC East | Monroeville | $73,004.40 | $1,602.70 – $97,339.20 |
| UPMC Hamot | Erie | $39,445.80 | $1,587.58 – $44,457.34 |
| UPMC Hanover | Hanover | $48,933.60 | $1,016.56 – $49,005.49 |
| UPMC Lititz | Lititz | $48,933.60 | $1,016.56 – $49,270.19 |
| UPMC Mercy | Pittsburgh | $41,292.60 | $1,587.58 – $33,623.56 |