Perc cryo ablate renal tum at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$20,125.80
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.
$33,543.00
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.
$5,534.60 with Prime Net vs $35,183.22 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $5,534.60 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $6,538.00 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $6,708.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $6,708.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $7,261.66 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $7,326.38 | ↓ -64% |
| Aetna | Medicare | $10,412.60 | ↓ -48% |
| Cigna | Medicare | $10,482.49 | ↓ -48% |
| Geisinger | Medicare | $10,482.49 | ↓ -48% |
| Keystone Health Plan | Commercial | $10,518.90 | ↓ -48% |
| Capital Blue Cross | Commercial | $10,518.90 | ↓ -48% |
| Capital Blue Cross | CHIP | $10,518.90 | ↓ -48% |
| United Healthcare | Medicare | $10,682.15 | ↓ -47% |
| Prime Net | ACO/Legacy Commercial | $13,752.63 | ↓ -32% |
| Aetna | ACO | $13,853.26 | ↓ -31% |
| Keystone Autism Services | ACAP | $15,973.31 | ↓ -21% |
| Prime Net | GateKeeper/NonGateKeeper | $16,000.01 | ↓ -21% |
| Aetna | Commercial | $16,100.64 | ↓ -20% |
| Cigna | Commercial | $16,693.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $18,448.65 | ↓ -8% |
| Geisinger | Commercial | $21,963.96 | ↑ +9% |
| UPMC Health Plan | Commercial | $23,480.10 | ↑ +17% |
| Wellspan Population Health | Commercial | $23,480.10 | ↑ +17% |
| UPMC Health Plan | CHIP | $23,480.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $24,989.53 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $28,511.55 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $33,068.75 | ↑ +64% |
| Highmark BCBS of PA | Commercial | $35,183.22 | ↑ +75% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Perc cryo ablate renal tum at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $17,461.80 | $7,000.76 – $23,282.40 |
| UPMC Carlisle | Carlisle | $20,125.80 | $4,595.39 – $28,511.55 |
| UPMC Community Osteopathic | Harrisburg | $20,125.80 | $6,333.00 – $28,511.55 |
| UPMC Hamot | Erie | $47,940.00 | $7,000.76 – $14,436.44 |
| UPMC Hanover | Hanover | $20,125.80 | $7,261.66 – $15,913.34 |
| UPMC Lititz | Lititz | $20,125.80 | $7,261.66 – $15,999.30 |
| UPMC Mercy | Pittsburgh | $44,842.80 | $8,021.67 – $10,918.43 |
| UPMC Presbyterian | Pittsburgh | $59,707.20 | $6,651.90 – $10,918.43 |