Mr safety implant elec prepj at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$168.60
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.
$281.00
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.
$20.63 with Highmark BCBS of PA vs $470.45 with Capital Blue Cross — 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 | $20.63 | ↓ -88% |
| Prime Net | Managed Medicare | $46.37 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $56.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $56.20 | ↓ -67% |
| Aetna | Medicare | $91.80 | ↓ -46% |
| Cigna | Medicare | $92.42 | ↓ -45% |
| Geisinger | Medicare | $92.42 | ↓ -45% |
| United Healthcare | Medicare | $94.18 | ↓ -44% |
| Premier Comp Solutions | Worker's Comp | $106.71 | ↓ -37% |
| UPMC Work Partners | Workers Comp | $106.71 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $115.21 | ↓ -32% |
| Aetna | ACO | $116.05 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $134.04 | ↓ -20% |
| Aetna | Commercial | $134.88 | ↓ -20% |
| Keystone Autism Services | ACAP | $140.83 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $154.55 | ↓ -8% |
| Geisinger | Commercial | $184.00 | ↑ +9% |
| UPMC Health Plan | Commercial | $196.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $196.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $196.70 | ↑ +17% |
| United Healthcare | Commercial | $206.82 | ↑ +23% |
| Prime Net | FH-Medical Rental | $209.34 | ↑ +24% |
| Cigna | Commercial | $219.18 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $238.85 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $291.56 | ↑ +73% |
| Highmark BCBS of PA | Commercial | $310.20 | ↑ +84% |
| Keystone Health Plan | Commercial | $470.45 | ↑ +179% |
| Capital Blue Cross | Commercial | $470.45 | ↑ +179% |
| Capital Blue Cross | CHIP | $470.45 | ↑ +179% |
Visitor-reported prices
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Mr safety implant elec prepj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $25.32 – $222.40 |
| UPMC Bedford | Everett | $168.60 | $31.57 – $252.90 |
| UPMC Carlisle | Carlisle | $168.60 | $38.50 – $238.85 |
| UPMC Cole | Coudersport | $167.40 | $77.34 – $223.20 |
| UPMC Community Osteopathic | Harrisburg | $168.60 | $56.20 – $238.85 |
| UPMC East | Monroeville | $168.60 | $56.91 – $224.80 |
| UPMC Hamot | Erie | $168.60 | $76.50 – $109.08 |
| UPMC Northwest | Seneca | $168.60 | $65.71 – $101.97 |