Insertion single tranvenous electrode/ppm/implantable defibrillator at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$11,583.60
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.
$19,306.00
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.
$452.98 with Highmark Wholecare (prev Gateway) 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 Wholecare (prev Gateway) | Medicaid | $452.98 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $452.98 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $463.68 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $485.80 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $519.54 | ↓ -96% |
| Highmark BCBS of PA | Medicare | $570.69 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $1,061.85 | ↓ -91% |
| Prime Net | Managed Medicare | $3,185.49 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $3,861.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3,861.20 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $7,915.46 | ↓ -32% |
| Aetna | ACO | $7,973.38 | ↓ -31% |
| Aetna | Medicare | $8,277.08 | ↓ -29% |
| Cigna | Medicare | $8,332.63 | ↓ -28% |
| Geisinger | Medicare | $8,332.63 | ↓ -28% |
| United Healthcare | Medicare | $8,491.35 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $9,208.96 | ↓ -21% |
| Aetna | Commercial | $9,266.88 | ↓ -20% |
| Keystone Health Plan | Commercial | $9,437.40 | ↓ -19% |
| UPMC Health Plan | CHIP | $10,107.66 | ↓ -13% |
| Capital Blue Cross | CHIP | $10,518.90 | ↓ -9% |
| Capital Blue Cross | Commercial | $10,518.90 | ↓ -9% |
| Geisinger | Commercial | $12,641.57 | ↑ +9% |
| Keystone Autism Services | ACAP | $12,697.34 | ↑ +10% |
| Wellspan Population Health | Commercial | $13,514.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $13,514.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $14,382.97 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $16,410.10 | ↑ +42% |
| Cigna | Commercial | $17,298.00 | ↑ +49% |
| Highmark BCBS of PA | Medicaid | $26,286.68 | ↑ +127% |
| Highmark BCBS of PA | Commercial | $27,967.49 | ↑ +141% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,804.80 | $356.68 – $6,406.40 |
| UPMC Carlisle | Carlisle | $11,583.60 | $452.98 – $16,410.10 |
| UPMC Community Osteopathic | Harrisburg | $11,583.60 | $452.98 – $16,410.10 |
| UPMC East | Monroeville | $2,794.80 | $392.35 – $8,284.66 |
| UPMC Hamot | Erie | $4,615.80 | $392.35 – $11,475.67 |
| UPMC Hanover | Hanover | $11,583.60 | $452.98 – $12,649.66 |
| UPMC Lititz | Lititz | $11,583.60 | $452.98 – $12,718.00 |
| UPMC Mercy | Pittsburgh | $7,267.20 | $392.35 – $8,679.17 |