Iron binding capacity at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$44.40
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.
$74.00
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.
$5.00 with AmeriHealth Caritas vs $63.27 with Keystone Health Plan — 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 | $5.00 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.35 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $6.50 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.55 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $6.81 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $7.28 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $9.04 | ↓ -80% |
| Aetna | Medicare | $9.12 | ↓ -79% |
| Cigna | Medicare | $9.18 | ↓ -79% |
| Geisinger | Medicare | $9.18 | ↓ -79% |
| United Healthcare | Medicare | $9.35 | ↓ -79% |
| United Healthcare | Commercial | $9.59 | ↓ -78% |
| Prime Net | Managed Medicare | $12.21 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $13.88 | ↓ -69% |
| Keystone Autism Services | ACAP | $13.98 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $14.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $14.80 | ↓ -67% |
| Cigna | Commercial | $22.72 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $28.95 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $30.34 | ↓ -32% |
| Aetna | ACO | $30.56 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $30.80 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $35.30 | ↓ -20% |
| Aetna | Commercial | $35.52 | ↓ -20% |
| Geisinger | Commercial | $48.46 | ↑ +9% |
| UPMC Health Plan | Commercial | $51.80 | ↑ +17% |
| Wellspan Population Health | Commercial | $51.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $55.13 | ↑ +24% |
| UPMC Health Plan | CHIP | $55.44 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $62.90 | ↑ +42% |
| Capital Blue Cross | CHIP | $63.27 | ↑ +43% |
| Capital Blue Cross | Commercial | $63.27 | ↑ +43% |
| Keystone Health Plan | Commercial | $63.27 | ↑ +43% |
Visitor-reported prices
Comments
Iron binding capacity at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.80 | $5.00 – $134.40 |
| UPMC Bedford | Everett | $58.80 | $3.15 – $88.20 |
| UPMC Carlisle | Carlisle | $44.40 | $5.00 – $62.90 |
| UPMC Cole | Coudersport | $63.00 | $5.25 – $84.00 |
| UPMC Community Osteopathic | Harrisburg | $44.40 | $5.00 – $55.44 |
| UPMC East | Monroeville | $131.40 | $5.00 – $175.20 |
| UPMC Hamot | Erie | $97.20 | $5.00 – $17.03 |
| UPMC Northwest | Seneca | $58.80 | $5.50 – $9.18 |