Prgr stim/pace a/iv drug at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,457.20
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.
$5,762.00
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.
$124.02 with Aetna vs $26,253.15 with Keystone Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $124.02 | ↓ -96% |
| Highmark BCBS of PA | Medicare | $228.01 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $247.59 | ↓ -93% |
| UPMC Health Plan | CHIP | $359.02 | ↓ -90% |
| Prime Net | Managed Medicare | $950.73 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,152.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,152.40 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $2,362.42 | ↓ -32% |
| Aetna | ACO | $2,379.71 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $2,748.47 | ↓ -21% |
| Aetna | Commercial | $2,765.76 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $3,169.10 | ↓ -8% |
| Geisinger | Commercial | $3,772.96 | ↑ +9% |
| Wellspan Population Health | Commercial | $4,033.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $4,033.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,292.69 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,897.70 | ↑ +42% |
| Cigna | Commercial | $17,298.00 | ↑ +400% |
| Capital Blue Cross | Commercial | $26,253.15 | ↑ +659% |
| Capital Blue Cross | CHIP | $26,253.15 | ↑ +659% |
| Keystone Health Plan | Commercial | $26,253.15 | ↑ +659% |
| United Healthcare | Commercial | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Prgr stim/pace a/iv drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,921.80 | $279.75 – $6,562.40 |
| UPMC Carlisle | Carlisle | $3,457.20 | $247.59 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $3,457.20 | $247.59 – $4,897.70 |
| UPMC Hamot | Erie | $844.80 | $179.28 – $817.02 |
| UPMC Hanover | Hanover | $3,457.20 | $247.59 – $359.02 |
| UPMC Lititz | Lititz | $3,457.20 | $124.02 – $359.02 |
| UPMC Mercy | Pittsburgh | $1,093.80 | $279.75 – $283.49 |
| UPMC Passavant-McCandless | Pittsburgh | $6,268.20 | $282.41 – $520.98 |