Procalcitonin at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$138.00
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.
$230.00
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.
$22.21 with AmeriHealth Caritas vs $195.50 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 →
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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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.21 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $28.15 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.21 | ↓ -80% |
| Aetna | Medicare | $28.39 | ↓ -79% |
| Geisinger | Medicare | $28.58 | ↓ -79% |
| Cigna | Medicare | $28.58 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $28.87 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $29.10 | ↓ -79% |
| United Healthcare | Medicare | $29.13 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.25 | ↓ -78% |
| United Healthcare | Commercial | $30.91 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $32.35 | ↓ -77% |
| Prime Net | Managed Medicare | $37.95 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $42.06 | ↓ -70% |
| Keystone Autism Services | ACAP | $43.55 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $46.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $46.00 | ↓ -67% |
| UPMC Health Plan | CHIP | $62.72 | ↓ -55% |
| Cigna | Commercial | $70.76 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $90.16 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $94.30 | ↓ -32% |
| Aetna | ACO | $94.99 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $95.93 | ↓ -30% |
| Prime Net | GateKeeper/NonGateKeeper | $109.71 | ↓ -21% |
| Aetna | Commercial | $110.40 | ↓ -20% |
| Keystone Health Plan | Commercial | $137.54 | ↓ -0% |
| Capital Blue Cross | CHIP | $137.54 | ↓ -0% |
| Capital Blue Cross | Commercial | $137.54 | ↓ -0% |
| Geisinger | Commercial | $150.60 | ↑ +9% |
| Wellspan Population Health | Commercial | $161.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $161.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $171.35 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $195.50 | ↑ +42% |
Visitor-reported prices
Comments
Procalcitonin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $105.00 | $22.21 – $140.00 |
| UPMC Bedford | Everett | $303.00 | $9.82 – $454.50 |
| UPMC Carlisle | Carlisle | $138.00 | $22.21 – $195.50 |
| UPMC Cole | Coudersport | $122.40 | $17.69 – $163.20 |
| UPMC Community Osteopathic | Harrisburg | $138.00 | $22.21 – $195.50 |
| UPMC East | Monroeville | $205.20 | $17.25 – $273.60 |
| UPMC Hamot | Erie | $327.00 | $22.21 – $51.60 |
| UPMC Northwest | Seneca | $284.40 | $17.41 – $29.40 |