MRI breast c- unilateral at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$480.60
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.
$801.00
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.
$83.29 with Highmark BCBS of PA vs $1,224.77 with Cigna — 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 | $83.29 | ↓ -83% |
| Prime Net | Managed Medicare | $132.16 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $160.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $160.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $175.38 | ↓ -64% |
| Aetna | Medicare | $241.76 | ↓ -50% |
| Cigna | Medicare | $243.38 | ↓ -49% |
| Geisinger | Medicare | $243.38 | ↓ -49% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $244.31 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $244.31 | ↓ -49% |
| United Healthcare | Medicare | $248.02 | ↓ -48% |
| UPMC Health Plan | Managed Medicaid | $250.08 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $262.01 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $280.21 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $304.85 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $328.41 | ↓ -32% |
| Aetna | ACO | $330.81 | ↓ -31% |
| Keystone Autism Services | ACAP | $370.86 | ↓ -23% |
| Prime Net | GateKeeper/NonGateKeeper | $382.08 | ↓ -20% |
| Aetna | Commercial | $384.48 | ↓ -20% |
| Premier Comp Solutions | Worker's Comp | $425.00 | ↓ -12% |
| Geisinger | Commercial | $524.49 | ↑ +9% |
| Wellspan Population Health | Commercial | $560.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $560.70 | ↑ +17% |
| United Healthcare | Commercial | $589.54 | ↑ +23% |
| Prime Net | FH-Medical Rental | $596.75 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $680.85 | ↑ +42% |
| UPMC Health Plan | CHIP | $703.14 | ↑ +46% |
| Highmark BCBS of PA | Medicaid | $767.78 | ↑ +60% |
| Highmark BCBS of PA | Commercial | $816.87 | ↑ +70% |
| Capital Blue Cross | CHIP | $1,094.08 | ↑ +128% |
| Keystone Health Plan | Commercial | $1,094.08 | ↑ +128% |
| Capital Blue Cross | Commercial | $1,094.08 | ↑ +128% |
| Cigna | Commercial | $1,224.77 | ↑ +155% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast c- unilateral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $480.60 | $109.74 – $680.85 |
| UPMC Community Osteopathic | Harrisburg | $480.60 | $160.20 – $703.14 |
| UPMC Hamot | Erie | $4,720.20 | $102.20 – $345.98 |
| UPMC Hanover | Hanover | $480.60 | $175.38 – $425.00 |
| UPMC Lititz | Lititz | $480.60 | $175.38 – $425.00 |
| UPMC Magee | Pittsburgh | $4,220.40 | $103.17 – $327.84 |
| UPMC Muncy | Muncy | $1,405.80 | $171.37 – $327.84 |
| UPMC Passavant-McCandless | Pittsburgh | $3,253.80 | $103.17 – $338.72 |