Intro long gi tube w/mult fluo at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$423.60
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.
$706.00
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.
$89.84 with Aetna vs $637.23 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 |
|---|---|---|---|
| Aetna | Medicare | $89.84 | ↓ -79% |
| Prime Net | Managed Medicare | $116.49 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $119.17 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $141.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $141.20 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $289.46 | ↓ -32% |
| Aetna | ACO | $291.58 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $308.49 | ↓ -27% |
| Premier Comp Solutions | Worker's Comp | $308.49 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $336.76 | ↓ -21% |
| Aetna | Commercial | $338.88 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $388.30 | ↓ -8% |
| Geisinger | Commercial | $462.29 | ↑ +9% |
| UPMC Health Plan | CHIP | $471.13 | ↑ +11% |
| Wellspan Population Health | Commercial | $494.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $494.20 | ↑ +17% |
| United Healthcare | Commercial | $519.62 | ↑ +23% |
| Prime Net | FH-Medical Rental | $525.97 | ↑ +24% |
| Cigna | Commercial | $550.68 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $600.10 | ↑ +42% |
| Capital Blue Cross | CHIP | $637.23 | ↑ +50% |
| Keystone Health Plan | Commercial | $637.23 | ↑ +50% |
| Capital Blue Cross | Commercial | $637.23 | ↑ +50% |
Visitor-reported prices
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Intro long gi tube w/mult fluo at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $900.00 | $146.21 – $1,200.00 |
| UPMC Carlisle | Carlisle | $423.60 | $96.72 – $600.10 |
| UPMC Community Osteopathic | Harrisburg | $423.60 | $141.20 – $642.84 |
| UPMC Hanover | Hanover | $423.60 | $308.49 – $471.13 |
| UPMC Jameson | New Castle | $329.40 | $89.84 – $294.78 |
| UPMC Lititz | Lititz | $423.60 | $89.84 – $471.13 |
| UPMC Magee | Pittsburgh | $981.00 | $98.82 – $375.56 |
| UPMC McKeesport | Mckeesport | $763.20 | $98.82 – $317.82 |