Mammosite ced at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$120.00
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.
$200.00
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.
$33.00 with Prime Net vs $2,670.70 with UPMC 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $33.00 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $40.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $40.00 | ↓ -67% |
| Aetna | Medicare | $78.74 | ↓ -34% |
| Prime Net | ACO/Legacy Commercial | $82.00 | ↓ -32% |
| Aetna | ACO | $82.60 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $95.40 | ↓ -21% |
| Aetna | Commercial | $96.00 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $110.00 | ↓ -8% |
| Capital Blue Cross | CHIP | $121.08 | ↑ +1% |
| Capital Blue Cross | Commercial | $121.08 | ↑ +1% |
| Keystone Health Plan | Commercial | $127.14 | ↑ +6% |
| Geisinger | Commercial | $130.96 | ↑ +9% |
| UPMC Health Plan | Commercial | $140.00 | ↑ +17% |
| Wellspan Population Health | Commercial | $140.00 | ↑ +17% |
| United Healthcare | Commercial | $147.20 | ↑ +23% |
| Prime Net | FH-Medical Rental | $149.00 | ↑ +24% |
| Cigna | Commercial | $156.00 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $170.00 | ↑ +42% |
| Highmark BCBS of PA | Medicare | $1,045.14 | ↑ +771% |
| UPMC Health Plan | CHIP | $2,670.70 | ↑ +2126% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Mammosite ced at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $2,028.00 | not published |
| GROVE CITY HOSPITAL | GROVE CITY | $1,794.00 | not published |
| UPMC Magee | Pittsburgh | $8,057.40 | $86.61 – $2,670.70 |
| UPMC Muncy | Muncy | $11,007.00 | $2,751.75 – $16,510.50 |
| UPMC Presbyterian | Pittsburgh | $2,988.00 | $1,294.52 – $4,318.04 |
| UPMC Wellsboro | Wellsboro | $13,311.20 | $2,995.02 – $14,975.10 |
| WellSpan Chambersburg Hospital | Chambersburg | $455.34 | $17.40 – $17.40 |