Intra-atrial recording at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$15,996.60
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.
$26,661.00
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.
$118.34 with Highmark BCBS of PA vs $26,253.15 with Capital Blue Cross — 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 | $118.34 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $144.78 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $144.78 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $148.20 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $149.34 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $155.27 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $166.05 | ↓ -99% |
| UPMC Health Plan | CHIP | $439.60 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $459.23 | ↓ -97% |
| Prime Net | Managed Medicare | $4,399.06 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $5,332.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $5,332.20 | ↓ -67% |
| Aetna | Medicare | $7,589.11 | ↓ -53% |
| Geisinger | Medicare | $7,640.04 | ↓ -52% |
| Cigna | Medicare | $7,640.04 | ↓ -52% |
| United Healthcare | Medicare | $7,785.57 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $10,931.01 | ↓ -32% |
| Aetna | ACO | $11,010.99 | ↓ -31% |
| Keystone Autism Services | ACAP | $11,641.97 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $12,717.30 | ↓ -20% |
| Aetna | Commercial | $12,797.28 | ↓ -20% |
| United Healthcare | Commercial | $13,837.06 | ↓ -13% |
| Geisinger | Commercial | $17,457.62 | ↑ +9% |
| Wellspan Population Health | Commercial | $18,662.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $18,662.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $19,862.44 | ↑ +24% |
| Cigna | Commercial | $20,795.58 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $22,661.85 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $24,101.78 | ↑ +51% |
| Highmark BCBS of PA | Commercial | $25,642.89 | ↑ +60% |
| Capital Blue Cross | Commercial | $26,253.15 | ↑ +64% |
| Keystone Health Plan | Commercial | $26,253.15 | ↑ +64% |
| Capital Blue Cross | CHIP | $26,253.15 | ↑ +64% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Intra-atrial recording at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $889.80 | $114.00 – $1,186.40 |
| UPMC Carlisle | Carlisle | $15,996.60 | $144.78 – $22,661.85 |
| UPMC Hamot | Erie | $921.00 | $125.40 – $9,017.29 |
| UPMC Lititz | Lititz | $15,996.60 | $144.78 – $11,660.91 |
| UPMC Passavant-McCandless | Pittsburgh | $6,265.80 | $125.40 – $7,957.77 |
| UPMC Presbyterian | Pittsburgh | $3,647.40 | $125.40 – $7,957.77 |