Mayo analysis gene jak2 p.val617phe variant at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$529.80
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.
$883.00
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.
$49.84 with Highmark BCBS of PA vs $750.55 with Multiplan — 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 | $49.84 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $94.81 | ↓ -82% |
| Aetna | Medicare | $95.60 | ↓ -82% |
| Cigna | Medicare | $96.24 | ↓ -82% |
| Geisinger | Medicare | $96.24 | ↓ -82% |
| United Healthcare | Medicare | $98.08 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.05 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $127.06 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $130.06 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $131.07 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $136.27 | ↓ -74% |
| Prime Net | Managed Medicare | $145.69 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $145.73 | ↓ -72% |
| Keystone Autism Services | ACAP | $146.66 | ↓ -72% |
| UPMC Health Plan | CHIP | $163.46 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $176.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $176.60 | ↓ -67% |
| Cigna | Commercial | $238.32 | ↓ -55% |
| Highmark BCBS of PA | Medicaid | $303.61 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $323.03 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $362.03 | ↓ -32% |
| Aetna | ACO | $364.68 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $421.19 | ↓ -21% |
| Aetna | Commercial | $423.84 | ↓ -20% |
| Capital Blue Cross | CHIP | $534.57 | ↑ +1% |
| Capital Blue Cross | Commercial | $534.57 | ↑ +1% |
| Keystone Health Plan | Commercial | $561.32 | ↑ +6% |
| Geisinger | Commercial | $578.19 | ↑ +9% |
| Wellspan Population Health | Commercial | $618.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $618.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $657.84 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $750.55 | ↑ +42% |
Visitor-reported prices
Comments
Mayo analysis gene jak2 p.val617phe variant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,608.60 | $61.15 – $671.20 |
| UPMC Bedford | Everett | $1,702.80 | $33.07 – $402.30 |
| UPMC Carlisle | Carlisle | $529.80 | $90.74 – $750.55 |
| UPMC Cole | Coudersport | $414.00 | $53.00 – $552.00 |
| UPMC Community Osteopathic | Harrisburg | $529.80 | $84.80 – $360.40 |
| UPMC East | Monroeville | $1,702.80 | $44.97 – $357.60 |
| UPMC Hamot | Erie | $1,779.60 | $61.15 – $139.06 |
| UPMC Northwest | Seneca | $1,702.80 | $45.38 – $115.06 |