Plcmt sft tiss loc pq w/img 1st lsn at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,387.20
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.
?
What you pay up front if you don't use insurance.
$2,312.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$89.23 with Highmark Wholecare (prev Gateway) vs $5,035.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Wholecare (prev Gateway) | Medicaid | $89.23 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $91.34 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $92.04 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $94.85 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $95.69 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $102.34 | ↓ -93% |
| Highmark BCBS of PA | Medicare | $290.24 | ↓ -79% |
| Prime Net | Managed Medicare | $381.48 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $462.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $462.40 | ↓ -67% |
| Aetna | Medicare | $703.68 | ↓ -49% |
| Cigna | Medicare | $708.40 | ↓ -49% |
| Geisinger | Medicare | $708.40 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $713.77 | ↓ -49% |
| United Healthcare | Medicare | $721.90 | ↓ -48% |
| Prime Net | ACO/Legacy Commercial | $947.92 | ↓ -32% |
| Aetna | ACO | $954.86 | ↓ -31% |
| Keystone Autism Services | ACAP | $1,079.47 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $1,102.82 | ↓ -21% |
| Aetna | Commercial | $1,109.76 | ↓ -20% |
| Geisinger | Commercial | $1,513.90 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,618.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,618.40 | ↑ +17% |
| UPMC Health Plan | CHIP | $1,706.04 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,722.44 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,965.20 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $2,234.78 | ↑ +61% |
| Highmark BCBS of PA | Commercial | $2,377.67 | ↑ +71% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +114% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +114% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +114% |
| Cigna | Commercial | $5,035.00 | ↑ +263% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Plcmt sft tiss loc pq w/img 1st lsn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,387.20 | $89.23 – $1,965.20 |
| UPMC Community Osteopathic | Harrisburg | $1,387.20 | $92.04 – $1,965.20 |
| UPMC Northwest | Seneca | $1,473.60 | $77.29 – $704.33 |
| UPMC Hanover | Hanover | $1,387.20 | $89.23 – $1,075.42 |
| UPMC Lititz | Lititz | $1,387.20 | $89.23 – $1,081.23 |
| UPMC Magee | Pittsburgh | $1,437.60 | $77.29 – $724.45 |
| UPMC Somerset | Somerset | $1,387.20 | $77.29 – $682.05 |
| WellSpan Chambersburg Hospital | Chambersburg | $1,201.60 | $87.83 – $3,235.87 |