Polysom <6 yrs cpap/bilvl at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$3,382.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$5,637.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$620.39 with Highmark BCBS of PA vs $4,791.45 with Multiplan — 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 →

Payer
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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
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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 $620.39 ↓ -82%
Prime Net Managed Medicare $930.11 ↓ -72%
United Healthcare Community Plan for Families PA Medicaid $935.55 ↓ -72%
Aetna Medicare $1,017.53 ↓ -70%
Geisinger Medicare $1,024.36 ↓ -70%
Cigna Medicare $1,024.36 ↓ -70%
United Healthcare Medicare $1,043.87 ↓ -69%
Highmark Wholecare (prev Gateway) Medicaid $1,045.76 ↓ -69%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $1,045.76 ↓ -69%
UPMC Health Plan Managed Medicaid $1,070.46 ↓ -68%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $1,121.51 ↓ -67%
Keystone Health Plan Medicare Advantage $1,127.40 ↓ -67%
Capital Blue Cross Medicare Advantage $1,127.40 ↓ -67%
Geisinger Medicaid/CHIP $1,199.41 ↓ -65%
UPMC Work Partners Workers Comp $1,537.34 ↓ -55%
Keystone Autism Services ACAP $1,560.93 ↓ -54%
Capital Blue Cross Commercial $2,148.30 ↓ -36%
Keystone Health Plan Commercial $2,148.30 ↓ -36%
Capital Blue Cross CHIP $2,148.30 ↓ -36%
Prime Net ACO/Legacy Commercial $2,311.17 ↓ -32%
Aetna ACO $2,328.08 ↓ -31%
Prime Net GateKeeper/NonGateKeeper $2,688.85 ↓ -20%
Aetna Commercial $2,705.76 ↓ -20%
Highmark BCBS of PA Medicaid $3,231.51 ↓ -4%
Highmark BCBS of PA Commercial $3,438.14 ↑ +2%
Geisinger Commercial $3,691.11 ↑ +9%
United Healthcare Commercial $3,865.00 ↑ +14%
Wellspan Population Health Commercial $3,945.90 ↑ +17%
UPMC Health Plan CHIP $3,945.90 ↑ +17%
UPMC Health Plan Commercial $3,945.90 ↑ +17%
Prime Net FH-Medical Rental $4,199.56 ↑ +24%
Cigna Commercial $4,396.86 ↑ +30%
Multiplan PPO (Includes PHCS and Humana as Payers) $4,791.45 ↑ +42%
Tricare East Region not published by hospital

Visitor-reported prices

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Polysom <6 yrs cpap/bilvl at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $3,382.20 $772.27 – $4,791.45
UPMC Hanover Hanover $3,382.20 $935.55 – $1,555.06
UPMC Lititz Lititz $3,382.20 $935.55 – $1,563.46
WellSpan Chambersburg Hospital Chambersburg $5,560.00 $1,029.28 – $5,004.00
Uniontown Hospital Uniontown $1,661.50 $98.31 – $1,728.77

All Pennsylvania hospitals for this procedure →