Laryngoscopy w/fb removal at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,505.20
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.
$5,842.00
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.
$594.82 with Highmark BCBS of PA vs $7,105.35 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $594.82 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $705.75 | ↓ -80% |
| Prime Net | Managed Medicare | $963.93 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $1,168.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,168.40 | ↓ -67% |
| Aetna | Medicare | $1,724.69 | ↓ -51% |
| Cigna | Medicare | $1,736.27 | ↓ -50% |
| Geisinger | Medicare | $1,736.27 | ↓ -50% |
| United Healthcare | Medicare | $1,769.34 | ↓ -50% |
| UPMC Health Plan | CHIP | $2,297.57 | ↓ -34% |
| Prime Net | ACO/Legacy Commercial | $2,395.22 | ↓ -32% |
| Aetna | ACO | $2,412.75 | ↓ -31% |
| Keystone Autism Services | ACAP | $2,645.74 | ↓ -25% |
| Prime Net | GateKeeper/NonGateKeeper | $2,786.63 | ↓ -21% |
| Aetna | Commercial | $2,804.16 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $3,213.10 | ↓ -8% |
| Geisinger | Commercial | $3,825.34 | ↑ +9% |
| Wellspan Population Health | Commercial | $4,089.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $4,089.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,352.29 | ↑ +24% |
| Cigna | Commercial | $4,556.76 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,965.70 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $5,477.35 | ↑ +56% |
| Highmark BCBS of PA | Commercial | $5,827.58 | ↑ +66% |
| Capital Blue Cross | Commercial | $7,073.85 | ↑ +102% |
| Capital Blue Cross | CHIP | $7,073.85 | ↑ +102% |
| Keystone Health Plan | Commercial | $7,105.35 | ↑ +103% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Laryngoscopy w/fb removal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,494.00 | $666.05 – $5,992.00 |
| UPMC Carlisle | Carlisle | $3,505.20 | $697.03 – $4,965.70 |
| UPMC Cole | Coudersport | $384.00 | $177.41 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $3,505.20 | $705.75 – $4,965.70 |
| UPMC East | Monroeville | $3,055.20 | $717.74 – $4,073.60 |
| UPMC Hamot | Erie | $4,066.20 | $717.74 – $2,391.19 |
| UPMC Hanover | Hanover | $3,505.20 | $705.75 – $2,635.82 |
| UPMC Lititz | Lititz | $3,505.20 | $697.03 – $2,650.05 |