Mitomycin instillation at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$14,202.00
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.
$23,670.00
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.
$171.69 with Highmark BCBS of PA vs $20,119.50 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 | $171.69 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $318.53 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $318.53 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $324.90 | ↓ -98% |
| Aetna | Medicare | $332.23 | ↓ -98% |
| Geisinger | Medicare | $334.46 | ↓ -98% |
| Cigna | Medicare | $334.46 | ↓ -98% |
| United Healthcare | Medicare | $340.83 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $350.38 | ↓ -98% |
| Capital Blue Cross | CHIP | $376.68 | ↓ -97% |
| Capital Blue Cross | Commercial | $376.68 | ↓ -97% |
| Keystone Health Plan | Commercial | $386.60 | ↓ -97% |
| UPMC Health Plan | CHIP | $391.79 | ↓ -97% |
| Cigna | Commercial | $424.06 | ↓ -97% |
| Keystone Autism Services | ACAP | $509.65 | ↓ -96% |
| Highmark BCBS of PA | Medicaid | $1,055.10 | ↓ -93% |
| Highmark BCBS of PA | Commercial | $1,122.56 | ↓ -92% |
| United Healthcare | Commercial | $2,112.02 | ↓ -85% |
| Prime Net | Managed Medicare | $3,905.55 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $4,734.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,734.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $8,495.16 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $9,704.70 | ↓ -32% |
| Aetna | ACO | $9,775.71 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $11,290.59 | ↓ -21% |
| Aetna | Commercial | $11,361.60 | ↓ -20% |
| Geisinger | Commercial | $15,499.12 | ↑ +9% |
| Wellspan Population Health | Commercial | $16,569.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $16,569.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $17,634.15 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $20,119.50 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Mitomycin instillation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $14,202.00 | $315.34 – $20,119.50 |
| UPMC Cole | Coudersport | $3,525.00 | $318.53 – $4,700.00 |
| UPMC Community Osteopathic | Harrisburg | $14,202.00 | $315.34 – $20,119.50 |
| UPMC Hanover | Hanover | $14,202.00 | $315.34 – $509.65 |
| UPMC Lititz | Lititz | $14,202.00 | $315.34 – $509.65 |
| UPMC Magee | Pittsburgh | $51,491.40 | $201.12 – $344.01 |
| UPMC Passavant-McCandless | Pittsburgh | $54,580.80 | $201.12 – $350.38 |
| UPMC Somerset | Somerset | $14,202.00 | $208.53 – $318.53 |