Place right device/marker pros at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,887.60
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.
$3,146.00
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.
$208.19 with Highmark BCBS of PA vs $4,623.82 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $208.19 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $228.73 | ↓ -88% |
| Prime Net | Managed Medicare | $519.09 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $629.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $629.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -46% |
| Prime Net | ACO/Legacy Commercial | $1,289.86 | ↓ -32% |
| Aetna | ACO | $1,299.30 | ↓ -31% |
| Aetna | Medicare | $1,368.44 | ↓ -28% |
| Cigna | Medicare | $1,377.62 | ↓ -27% |
| Geisinger | Medicare | $1,377.62 | ↓ -27% |
| United Healthcare | Medicare | $1,403.86 | ↓ -26% |
| UPMC Health Plan | CHIP | $1,430.69 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $1,500.64 | ↓ -21% |
| Aetna | Commercial | $1,510.08 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,730.30 | ↓ -8% |
| Capital Blue Cross | CHIP | $1,904.59 | ↑ +1% |
| Capital Blue Cross | Commercial | $1,904.59 | ↑ +1% |
| Keystone Health Plan | Commercial | $1,999.91 | ↑ +6% |
| Geisinger | Commercial | $2,060.00 | ↑ +9% |
| Keystone Autism Services | ACAP | $2,099.23 | ↑ +11% |
| UPMC Health Plan | Commercial | $2,202.20 | ↑ +17% |
| Wellspan Population Health | Commercial | $2,202.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,343.77 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,674.10 | ↑ +42% |
| Cigna | Commercial | $3,397.00 | ↑ +80% |
| Highmark BCBS of PA | Medicaid | $4,345.94 | ↑ +130% |
| Highmark BCBS of PA | Commercial | $4,623.82 | ↑ +145% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Place right device/marker pros at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,887.60 | $228.73 – $2,674.10 |
| UPMC Magee | Pittsburgh | $1,347.00 | $218.56 – $1,434.92 |
| UPMC Somerset | Somerset | $1,887.60 | $218.56 – $1,408.70 |
| Uniontown Hospital | Uniontown | $1,591.00 | $205.80 – $2,786.44 |
| WellSpan Evangelical Community Hospital | Lewisburg | $4,212.13 | $102.83 – $2,616.83 |
| UPMC Carlisle | Carlisle | not published | $228.73 – $2,094.24 |
| UPMC Northwest | Seneca | not published | $218.56 – $1,408.83 |
| UPMC Hanover | Hanover | not published | $228.73 – $2,091.36 |