Nuclear rx intra-arterial at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$742.20
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.
$1,237.00
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.
$90.02 with Highmark BCBS of PA vs $1,247.65 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 | $90.02 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $199.57 | ↓ -73% |
| Prime Net | Managed Medicare | $204.10 | ↓ -73% |
| Aetna | Medicare | $224.16 | ↓ -70% |
| Cigna | Medicare | $225.67 | ↓ -70% |
| Geisinger | Medicare | $225.67 | ↓ -70% |
| United Healthcare | Medicare | $229.96 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $247.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $247.40 | ↓ -67% |
| Keystone Autism Services | ACAP | $343.87 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $419.06 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $507.17 | ↓ -32% |
| Aetna | ACO | $510.88 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $590.05 | ↓ -20% |
| Aetna | Commercial | $593.76 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $680.35 | ↓ -8% |
| Capital Blue Cross | CHIP | $703.72 | ↓ -5% |
| Keystone Health Plan | Commercial | $703.72 | ↓ -5% |
| Capital Blue Cross | Commercial | $703.72 | ↓ -5% |
| Highmark BCBS of PA | Medicaid | $711.90 | ↓ -4% |
| Highmark BCBS of PA | Commercial | $757.42 | ↑ +2% |
| Geisinger | Commercial | $809.99 | ↑ +9% |
| Wellspan Population Health | Commercial | $865.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $865.90 | ↑ +17% |
| United Healthcare | Commercial | $910.43 | ↑ +23% |
| Prime Net | FH-Medical Rental | $921.57 | ↑ +24% |
| UPMC Health Plan | CHIP | $1,024.91 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,051.45 | ↑ +42% |
| Cigna | Commercial | $1,247.65 | ↑ +68% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear rx intra-arterial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $742.20 | $117.93 – $1,051.45 |
| UPMC Community Osteopathic | Harrisburg | $742.20 | $199.57 – $1,051.45 |
| UPMC Hamot | Erie | $645.60 | $110.45 – $400.43 |
| UPMC Hanover | Hanover | $742.20 | $199.57 – $1,024.91 |
| UPMC Lititz | Lititz | $742.20 | $199.57 – $1,024.91 |
| UPMC Passavant-McCandless | Pittsburgh | $616.20 | $111.50 – $465.62 |
| UPMC Presbyterian | Pittsburgh | $1,750.20 | $111.50 – $643.41 |
| UPMC Somerset | Somerset | $742.20 | $109.33 – $400.43 |