Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$52.20
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.
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What you pay up front if you don't use insurance.
$87.00
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.
$14.36 with Prime Net vs $115.00 with United Healthcare — 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 | $14.36 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $17.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $17.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $17.94 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $20.11 | ↓ -61% |
| United Healthcare Community Plan for Families | PA Medicaid | $23.71 | ↓ -55% |
| Aetna | Medicare | $29.80 | ↓ -43% |
| Geisinger | Medicare | $30.00 | ↓ -43% |
| Cigna | Medicare | $30.00 | ↓ -43% |
| United Healthcare | Medicare | $30.57 | ↓ -41% |
| Prime Net | ACO/Legacy Commercial | $35.67 | ↓ -32% |
| Aetna | ACO | $35.93 | ↓ -31% |
| UPMC Health Plan | CHIP | $36.90 | ↓ -29% |
| Prime Net | GateKeeper/NonGateKeeper | $41.50 | ↓ -20% |
| Aetna | Commercial | $41.76 | ↓ -20% |
| Keystone Autism Services | ACAP | $45.71 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $47.85 | ↓ -8% |
| Capital Blue Cross | Commercial | $52.67 | ↑ +1% |
| Capital Blue Cross | CHIP | $52.67 | ↑ +1% |
| Keystone Health Plan | Commercial | $55.31 | ↑ +6% |
| Geisinger | Commercial | $56.97 | ↑ +9% |
| Wellspan Population Health | Commercial | $60.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $60.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $64.81 | ↑ +24% |
| Cigna | Commercial | $67.86 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $73.95 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $94.64 | ↑ +81% |
| Highmark BCBS of PA | Commercial | $100.69 | ↑ +93% |
| United Healthcare | Commercial | $115.00 | ↑ +120% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $30.00 | $19.22 – $40.00 |
| UPMC Bedford | Everett | $30.00 | $10.25 – $45.00 |
| UPMC Carlisle | Carlisle | $52.20 | $11.92 – $73.95 |
| UPMC Cole | Coudersport | $46.20 | $16.14 – $61.60 |
| UPMC Community Osteopathic | Harrisburg | $52.20 | $17.40 – $73.95 |
| UPMC East | Monroeville | $30.00 | $16.50 – $40.00 |
| UPMC Hamot | Erie | $32.40 | $18.43 – $40.57 |
| UPMC Northwest | Seneca | $30.00 | $19.22 – $30.67 |