Intro cath dialysis circuit w/pta at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$12,150.60
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.
$20,251.00
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.
$225.63 with AmeriHealth Caritas vs $19,267.47 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $225.63 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $225.63 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $230.96 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $241.97 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $258.78 | ↓ -98% |
| Highmark BCBS of PA | Medicare | $615.41 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -92% |
| Premier Comp Solutions | Worker's Comp | $1,603.55 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,603.55 | ↓ -87% |
| UPMC Health Plan | CHIP | $1,909.21 | ↓ -84% |
| Prime Net | Managed Medicare | $3,341.41 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $4,050.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,050.20 | ↓ -67% |
| Aetna | Medicare | $5,702.28 | ↓ -53% |
| Geisinger | Medicare | $5,740.55 | ↓ -53% |
| Cigna | Medicare | $5,740.55 | ↓ -53% |
| United Healthcare | Medicare | $5,849.89 | ↓ -52% |
| Prime Net | ACO/Legacy Commercial | $8,302.91 | ↓ -32% |
| Aetna | ACO | $8,363.66 | ↓ -31% |
| Keystone Autism Services | ACAP | $8,747.50 | ↓ -28% |
| Cigna | Commercial | $9,539.00 | ↓ -21% |
| Prime Net | GateKeeper/NonGateKeeper | $9,659.73 | ↓ -20% |
| Aetna | Commercial | $9,720.48 | ↓ -20% |
| Geisinger | Commercial | $13,260.35 | ↑ +9% |
| Wellspan Population Health | Commercial | $14,175.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $14,175.70 | ↑ +17% |
| United Healthcare | Commercial | $14,904.74 | ↑ +23% |
| Prime Net | FH-Medical Rental | $15,087.00 | ↑ +24% |
| Keystone Health Plan | Commercial | $15,450.75 | ↑ +27% |
| Capital Blue Cross | Commercial | $15,450.75 | ↑ +27% |
| Capital Blue Cross | CHIP | $15,450.75 | ↑ +27% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $17,213.35 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $18,109.52 | ↑ +49% |
| Highmark BCBS of PA | Commercial | $19,267.47 | ↑ +59% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,684.20 | $177.66 – $10,245.60 |
| UPMC Carlisle | Carlisle | $12,150.60 | $225.63 – $17,213.35 |
| UPMC Community Osteopathic | Harrisburg | $12,150.60 | $225.63 – $17,213.35 |
| UPMC East | Monroeville | $7,523.40 | $195.43 – $10,031.20 |
| UPMC Hamot | Erie | $5,144.40 | $195.43 – $7,905.86 |
| UPMC Northwest | Seneca | $8,154.60 | $195.43 – $5,707.51 |
| UPMC Hanover | Hanover | $12,150.60 | $225.63 – $8,714.66 |
| UPMC Lititz | Lititz | $12,150.60 | $225.63 – $8,761.73 |