Mr safety determination physician/other qhp at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$161.40
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.
$269.00
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.
$11.70 with Highmark BCBS of PA vs $297.55 with Highmark BCBS of PA — 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 | $11.70 | ↓ -93% |
| Prime Net | Managed Medicare | $44.38 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $53.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $53.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $68.29 | ↓ -58% |
| Premier Comp Solutions | Worker's Comp | $68.29 | ↓ -58% |
| Aetna | Medicare | $88.06 | ↓ -45% |
| Cigna | Medicare | $88.65 | ↓ -45% |
| Geisinger | Medicare | $88.65 | ↓ -45% |
| United Healthcare | Medicare | $90.34 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $110.29 | ↓ -32% |
| Aetna | ACO | $111.10 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $128.31 | ↓ -21% |
| Aetna | Commercial | $129.12 | ↓ -20% |
| Keystone Autism Services | ACAP | $135.09 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $147.95 | ↓ -8% |
| Geisinger | Commercial | $176.14 | ↑ +9% |
| UPMC Health Plan | Commercial | $188.30 | ↑ +17% |
| UPMC Health Plan | CHIP | $188.30 | ↑ +17% |
| Wellspan Population Health | Commercial | $188.30 | ↑ +17% |
| United Healthcare | Commercial | $197.98 | ↑ +23% |
| Prime Net | FH-Medical Rental | $200.41 | ↑ +24% |
| Cigna | Commercial | $209.82 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $228.65 | ↑ +42% |
| Keystone Health Plan | Commercial | $266.61 | ↑ +65% |
| Capital Blue Cross | Commercial | $266.61 | ↑ +65% |
| Capital Blue Cross | CHIP | $266.61 | ↑ +65% |
| Highmark BCBS of PA | Medicaid | $279.67 | ↑ +73% |
| Highmark BCBS of PA | Commercial | $297.55 | ↑ +84% |
Visitor-reported prices
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Mr safety determination physician/other qhp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $160.20 | $14.35 – $213.60 |
| UPMC Bedford | Everett | $161.40 | $30.29 – $242.10 |
| UPMC Carlisle | Carlisle | $161.40 | $36.85 – $228.65 |
| UPMC Cole | Coudersport | $160.20 | $43.84 – $213.60 |
| UPMC Community Osteopathic | Harrisburg | $161.40 | $53.80 – $228.65 |
| UPMC East | Monroeville | $161.40 | $32.25 – $215.20 |
| UPMC Hamot | Erie | $161.40 | $43.36 – $104.63 |
| UPMC Northwest | Seneca | $161.40 | $37.24 – $90.67 |