IV inj ra drug dx study at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,228.80
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.
$2,048.00
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.
$63.25 with Highmark BCBS of PA vs $1,934.72 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 BCBS of PA | Medicare | $63.25 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $68.43 | ↓ -94% |
| Keystone Health Plan | Commercial | $272.95 | ↓ -78% |
| Capital Blue Cross | CHIP | $272.95 | ↓ -78% |
| Capital Blue Cross | Commercial | $272.95 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $310.59 | ↓ -75% |
| Prime Net | Managed Medicare | $337.92 | ↓ -73% |
| Aetna | Medicare | $401.88 | ↓ -67% |
| Geisinger | Medicare | $404.58 | ↓ -67% |
| Cigna | Medicare | $404.58 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $409.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $409.60 | ↓ -67% |
| United Healthcare | Medicare | $412.28 | ↓ -66% |
| Keystone Autism Services | ACAP | $616.50 | ↓ -50% |
| Prime Net | ACO/Legacy Commercial | $839.68 | ↓ -32% |
| Aetna | ACO | $845.82 | ↓ -31% |
| UPMC Health Plan | CHIP | $871.36 | ↓ -29% |
| Prime Net | GateKeeper/NonGateKeeper | $976.90 | ↓ -20% |
| Aetna | Commercial | $983.04 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,126.40 | ↓ -8% |
| Highmark BCBS of PA | Medicaid | $1,276.30 | ↑ +4% |
| Geisinger | Commercial | $1,341.03 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $1,357.91 | ↑ +11% |
| Wellspan Population Health | Commercial | $1,433.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,433.60 | ↑ +17% |
| United Healthcare | Commercial | $1,507.33 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,525.76 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,740.80 | ↑ +42% |
| Cigna | Commercial | $1,934.72 | ↑ +57% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
IV inj ra drug dx study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $513.60 | $65.39 – $684.80 |
| UPMC Carlisle | Carlisle | $1,228.80 | $68.43 – $1,740.80 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $68.43 – $1,740.80 |
| UPMC Hanover | Hanover | $1,228.80 | $68.43 – $871.36 |
| UPMC Lititz | Lititz | $1,228.80 | $68.43 – $871.36 |
| UPMC Presbyterian | Pittsburgh | $564.00 | $76.57 – $547.01 |
| UPMC Somerset | Somerset | $1,228.80 | $65.39 – $413.71 |
| WellSpan Ephrata Community Hospital | Ephrata | $1,713.60 | $301.37 – $679.16 |