Ntsty modul rad tx dlvr cplx at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,765.20
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.
$2,942.00
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.
$229.17 with Highmark BCBS of PA vs $26,132.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $229.17 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $361.30 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $361.30 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $369.84 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $372.68 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $387.48 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $414.39 | ↓ -77% |
| Prime Net | Managed Medicare | $485.43 | ↓ -73% |
| Aetna | Medicare | $578.54 | ↓ -67% |
| Geisinger | Medicare | $582.42 | ↓ -67% |
| Cigna | Medicare | $582.42 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $588.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $588.40 | ↓ -67% |
| United Healthcare | Medicare | $593.52 | ↓ -66% |
| Keystone Autism Services | ACAP | $887.50 | ↓ -50% |
| Prime Net | ACO/Legacy Commercial | $1,206.22 | ↓ -32% |
| Aetna | ACO | $1,215.05 | ↓ -31% |
| UPMC Health Plan | CHIP | $1,381.91 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $1,403.33 | ↓ -21% |
| Aetna | Commercial | $1,412.16 | ↓ -20% |
| Capital Blue Cross | Commercial | $1,781.09 | ↑ +1% |
| Capital Blue Cross | CHIP | $1,781.09 | ↑ +1% |
| Highmark BCBS of PA | Medicaid | $1,837.36 | ↑ +4% |
| Keystone Health Plan | Commercial | $1,870.23 | ↑ +6% |
| Geisinger | Commercial | $1,926.42 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $1,954.84 | ↑ +11% |
| Wellspan Population Health | Commercial | $2,059.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,059.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,191.79 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,500.70 | ↑ +42% |
| Cigna | Commercial | $2,831.81 | ↑ +60% |
| United Healthcare | Commercial | $26,132.00 | ↑ +1380% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Ntsty modul rad tx dlvr cplx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,016.00 | $281.18 – $2,688.00 |
| UPMC Carlisle | Carlisle | $1,765.20 | $361.30 – $2,500.70 |
| UPMC Community Osteopathic | Harrisburg | $1,765.20 | $361.30 – $2,500.70 |
| UPMC East | Monroeville | $3,548.40 | $283.86 – $4,731.20 |
| UPMC Northwest | Seneca | $2,153.40 | $312.94 – $579.08 |
| UPMC Horizon-Greenville | Greenville | $2,153.40 | $312.94 – $595.62 |
| UPMC Lititz | Lititz | $1,765.20 | $361.30 – $888.96 |
| UPMC Magee | Pittsburgh | $4,423.80 | $283.86 – $595.62 |