Multiple sleep latency test at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,466.00
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.
$4,110.00
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.
$263.73 with United Healthcare Community Plan for Families vs $3,865.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $263.73 | ↓ -89% |
| Highmark BCBS of PA | Medicare | $269.84 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $300.80 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $300.80 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $307.90 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $322.59 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $345.00 | ↓ -86% |
| Aetna | Medicare | $530.67 | ↓ -78% |
| Geisinger | Medicare | $534.23 | ↓ -78% |
| Cigna | Medicare | $534.23 | ↓ -78% |
| United Healthcare | Medicare | $544.41 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $639.16 | ↓ -74% |
| Prime Net | Managed Medicare | $678.15 | ↓ -73% |
| UPMC Health Plan | CHIP | $693.73 | ↓ -72% |
| Keystone Autism Services | ACAP | $814.06 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $822.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $822.00 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $1,685.10 | ↓ -32% |
| Highmark BCBS of PA | Medicaid | $1,685.32 | ↓ -32% |
| Aetna | ACO | $1,697.43 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $1,793.08 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $1,960.47 | ↓ -21% |
| Aetna | Commercial | $1,972.80 | ↓ -20% |
| Keystone Health Plan | Commercial | $2,148.30 | ↓ -13% |
| Capital Blue Cross | CHIP | $2,148.30 | ↓ -13% |
| Capital Blue Cross | Commercial | $2,148.30 | ↓ -13% |
| Geisinger | Commercial | $2,691.23 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,877.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,877.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,061.95 | ↑ +24% |
| Cigna | Commercial | $3,205.80 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,493.50 | ↑ +42% |
| United Healthcare | Commercial | $3,865.00 | ↑ +57% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Multiple sleep latency test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,211.60 | $236.85 – $2,948.80 |
| UPMC Carlisle | Carlisle | $2,466.00 | $263.73 – $3,493.50 |
| UPMC Hamot | Erie | $1,400.40 | $136.49 – $720.95 |
| UPMC Hanover | Hanover | $2,466.00 | $263.73 – $811.01 |
| UPMC Horizon-Greenville | Greenville | $3,108.00 | $260.54 – $802.97 |
| UPMC Lititz | Lititz | $2,466.00 | $263.73 – $815.39 |
| UPMC Magee | Pittsburgh | $4,651.80 | $260.54 – $610.75 |
| UPMC Mercy | Pittsburgh | $3,010.20 | $260.54 – $714.53 |