Mayo avwpr vw factor activity at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$156.00
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.
?
What you pay up front if you don't use insurance.
$260.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.48 with Prime Net vs $166.03 with Capital Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $18.48 | ↓ -88% |
| Keystone Health Plan | Medicare Advantage | $22.40 | ↓ -86% |
| Capital Blue Cross | Medicare Advantage | $22.40 | ↓ -86% |
| United Healthcare | Commercial | $25.49 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.30 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $31.91 | ↓ -80% |
| Aetna | Medicare | $32.19 | ↓ -79% |
| Cigna | Medicare | $32.40 | ↓ -79% |
| Geisinger | Medicare | $32.40 | ↓ -79% |
| United Healthcare | Medicare | $33.02 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $33.40 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $34.19 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $34.45 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $35.82 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $38.31 | ↓ -75% |
| Prime Net | ACO/Legacy Commercial | $45.92 | ↓ -71% |
| Aetna | ACO | $46.26 | ↓ -70% |
| Keystone Autism Services | ACAP | $49.38 | ↓ -68% |
| Highmark BCBS of PA | Medicare | $50.77 | ↓ -67% |
| Prime Net | GateKeeper/NonGateKeeper | $53.42 | ↓ -66% |
| Aetna | Commercial | $53.76 | ↓ -66% |
| Geisinger | Commercial | $73.34 | ↓ -53% |
| Wellspan Population Health | Commercial | $78.40 | ↓ -50% |
| UPMC Health Plan | Commercial | $78.40 | ↓ -50% |
| Cigna | Commercial | $80.24 | ↓ -49% |
| Prime Net | FH-Medical Rental | $83.44 | ↓ -47% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $95.20 | ↓ -39% |
| Highmark BCBS of PA | Medicaid | $102.22 | ↓ -34% |
| Highmark BCBS of PA | Commercial | $108.76 | ↓ -30% |
| UPMC Health Plan | CHIP | $148.46 | ↓ -5% |
| Capital Blue Cross | CHIP | $166.03 | ↑ +6% |
| Keystone Health Plan | Commercial | $166.03 | ↑ +6% |
| Capital Blue Cross | Commercial | $166.03 | ↑ +6% |
Visitor-reported prices
Comments
Mayo avwpr vw factor activity at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $156.00 | $15.34 – $95.20 |
| UPMC Community Osteopathic | Harrisburg | $156.00 | $22.40 – $148.46 |
| UPMC East | Monroeville | $480.00 | $26.30 – $640.00 |
| UPMC Hamot | Erie | $347.40 | $26.30 – $62.29 |
| UPMC Northwest | Seneca | $415.80 | $27.99 – $33.33 |
| UPMC Hanover | Hanover | $156.00 | $25.49 – $49.38 |
| UPMC Horizon-Greenville | Greenville | $255.60 | $26.30 – $57.91 |
| UPMC Jameson | New Castle | $255.60 | $28.93 – $63.39 |