Instillation anticarcinogenic agent bladder at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$587.40
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.
$979.00
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.
$85.01 with Highmark Wholecare (prev Gateway) vs $3,397.00 with Cigna — 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 | $85.01 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $87.02 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $90.37 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $91.17 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $97.50 | ↓ -83% |
| Prime Net | Managed Medicare | $161.53 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $187.24 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $195.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $195.80 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $272.70 | ↓ -54% |
| Prime Net | ACO/Legacy Commercial | $401.39 | ↓ -32% |
| Aetna | ACO | $404.33 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $466.98 | ↓ -21% |
| Aetna | Commercial | $469.92 | ↓ -20% |
| Geisinger | Commercial | $641.05 | ↑ +9% |
| Aetna | Medicare | $667.56 | ↑ +14% |
| Cigna | Medicare | $672.04 | ↑ +14% |
| Geisinger | Medicare | $672.04 | ↑ +14% |
| United Healthcare | Medicare | $684.84 | ↑ +17% |
| UPMC Health Plan | Commercial | $685.30 | ↑ +17% |
| Wellspan Population Health | Commercial | $685.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $729.36 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $832.15 | ↑ +42% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +73% |
| Keystone Autism Services | ACAP | $1,024.06 | ↑ +74% |
| UPMC Health Plan | CHIP | $1,066.30 | ↑ +82% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +123% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +123% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +123% |
| Highmark BCBS of PA | Medicaid | $2,120.07 | ↑ +261% |
| Highmark BCBS of PA | Commercial | $2,255.63 | ↑ +284% |
| Cigna | Commercial | $3,397.00 | ↑ +478% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Instillation anticarcinogenic agent bladder at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,226.00 | $66.94 – $2,968.00 |
| UPMC Cole | Coudersport | $348.60 | $70.29 – $385.60 |
| UPMC Community Osteopathic | Harrisburg | $587.40 | $90.37 – $1,066.30 |
| UPMC Northwest | Seneca | $1,062.60 | $73.63 – $668.17 |
| UPMC Hanover | Hanover | $587.40 | $85.01 – $1,020.21 |
| UPMC Kane | Kane | $693.00 | $73.63 – $365.61 |
| UPMC Lititz | Lititz | $587.40 | $85.01 – $1,025.73 |
| UPMC Presbyterian | Pittsburgh | $2,753.40 | $73.63 – $931.20 |