Mr sfty implt&/fb asmt stf 1 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$45.00
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.
$75.00
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.
$2.83 with Highmark BCBS of PA vs $82.75 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 | $2.83 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $10.06 | ↓ -78% |
| Premier Comp Solutions | Worker's Comp | $10.06 | ↓ -78% |
| Prime Net | Managed Medicare | $12.38 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $15.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $15.00 | ↓ -67% |
| Aetna | Medicare | $24.49 | ↓ -46% |
| Cigna | Medicare | $24.65 | ↓ -45% |
| Geisinger | Medicare | $24.65 | ↓ -45% |
| United Healthcare | Medicare | $25.12 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $30.75 | ↓ -32% |
| Aetna | ACO | $30.98 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $35.77 | ↓ -21% |
| Aetna | Commercial | $36.00 | ↓ -20% |
| Keystone Autism Services | ACAP | $37.57 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $41.25 | ↓ -8% |
| Capital Blue Cross | CHIP | $45.41 | ↑ +1% |
| Capital Blue Cross | Commercial | $45.41 | ↑ +1% |
| Keystone Health Plan | Commercial | $47.68 | ↑ +6% |
| Geisinger | Commercial | $49.11 | ↑ +9% |
| Wellspan Population Health | Commercial | $52.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $52.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $52.50 | ↑ +17% |
| United Healthcare | Commercial | $55.20 | ↑ +23% |
| Prime Net | FH-Medical Rental | $55.88 | ↑ +24% |
| Cigna | Commercial | $58.50 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $63.75 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $77.78 | ↑ +73% |
| Highmark BCBS of PA | Commercial | $82.75 | ↑ +84% |
Visitor-reported prices
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Mr sfty implt&/fb asmt stf 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $44.40 | $3.48 – $59.20 |
| UPMC Bedford | Everett | $45.00 | $8.42 – $67.50 |
| UPMC Carlisle | Carlisle | $45.00 | $10.06 – $63.75 |
| UPMC Cole | Coudersport | $45.00 | $9.61 – $60.00 |
| UPMC Community Osteopathic | Harrisburg | $45.00 | $10.06 – $63.75 |
| UPMC East | Monroeville | $45.00 | $7.81 – $60.00 |
| UPMC Hamot | Erie | $45.00 | $9.61 – $29.11 |
| UPMC Northwest | Seneca | $45.00 | $9.02 – $25.22 |