Plmt nephroureteral catheter at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$5,190.00
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.
$8,650.00
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.
$620.89 with Highmark BCBS of PA vs $11,655.30 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 | $620.89 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -80% |
| UPMC Health Plan | CHIP | $1,363.43 | ↓ -74% |
| Prime Net | Managed Medicare | $1,427.25 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $1,526.92 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $1,730.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,730.00 | ↓ -67% |
| Aetna | Medicare | $3,449.43 | ↓ -34% |
| Geisinger | Medicare | $3,472.58 | ↓ -33% |
| Cigna | Medicare | $3,472.58 | ↓ -33% |
| United Healthcare | Medicare | $3,538.73 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $3,546.50 | ↓ -32% |
| Aetna | ACO | $3,572.45 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $4,126.05 | ↓ -21% |
| Aetna | Commercial | $4,152.00 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $4,757.50 | ↓ -8% |
| Keystone Autism Services | ACAP | $5,291.55 | ↑ +2% |
| Keystone Health Plan | Commercial | $5,588.10 | ↑ +8% |
| Capital Blue Cross | CHIP | $5,588.10 | ↑ +8% |
| Capital Blue Cross | Commercial | $5,588.10 | ↑ +8% |
| Geisinger | Commercial | $5,664.02 | ↑ +9% |
| Wellspan Population Health | Commercial | $6,055.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $6,055.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,444.25 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,352.50 | ↑ +42% |
| Cigna | Commercial | $9,561.00 | ↑ +84% |
| Highmark BCBS of PA | Medicaid | $10,954.84 | ↑ +111% |
| Highmark BCBS of PA | Commercial | $11,655.30 | ↑ +125% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Plmt nephroureteral catheter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,500.60 | $761.79 – $6,000.80 |
| UPMC Bedford | Everett | $4,763.40 | $1,008.26 – $7,145.10 |
| UPMC Carlisle | Carlisle | $5,190.00 | $1,016.56 – $7,352.50 |
| UPMC Community Osteopathic | Harrisburg | $5,190.00 | $1,016.56 – $7,352.50 |
| UPMC East | Monroeville | $4,763.40 | $769.05 – $6,351.20 |
| UPMC Hamot | Erie | $2,280.00 | $761.79 – $4,782.42 |
| UPMC Hanover | Hanover | $5,190.00 | $1,016.56 – $5,271.68 |
| UPMC Lititz | Lititz | $5,190.00 | $1,016.56 – $5,300.16 |