Protein electrophoretic fractionation & quantitation serum at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$54.60
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.
$91.00
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.
$11.12 with UPMC Work Partners vs $77.69 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $11.12 | ↓ -80% |
| Aetna | Medicare | $11.20 | ↓ -79% |
| Geisinger | Medicare | $11.28 | ↓ -79% |
| Cigna | Medicare | $11.28 | ↓ -79% |
| United Healthcare | Medicare | $11.49 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.65 | ↓ -73% |
| Prime Net | Managed Medicare | $15.02 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $16.94 | ↓ -69% |
| Keystone Autism Services | ACAP | $17.18 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $18.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $18.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.61 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $19.05 | ↓ -65% |
| United Healthcare Community Plan for Families | PA Medicaid | $19.19 | ↓ -65% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.95 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $21.34 | ↓ -61% |
| United Healthcare | Commercial | $22.31 | ↓ -59% |
| Cigna | Commercial | $27.92 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $35.58 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $37.31 | ↓ -32% |
| Aetna | ACO | $37.58 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $37.85 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $43.41 | ↓ -20% |
| Aetna | Commercial | $43.68 | ↓ -20% |
| Geisinger | Commercial | $59.59 | ↑ +9% |
| UPMC Health Plan | Commercial | $63.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $63.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $66.86 | ↑ +22% |
| Prime Net | FH-Medical Rental | $67.80 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $77.35 | ↑ +42% |
| Capital Blue Cross | CHIP | $77.69 | ↑ +42% |
| Capital Blue Cross | Commercial | $77.69 | ↑ +42% |
| Keystone Health Plan | Commercial | $77.69 | ↑ +42% |
Visitor-reported prices
Comments
Protein electrophoretic fractionation & quantitation serum at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $75.60 | $10.62 – $100.80 |
| UPMC Bedford | Everett | $58.80 | $3.87 – $88.20 |
| UPMC Carlisle | Carlisle | $54.60 | $10.63 – $77.35 |
| UPMC Cole | Coudersport | $86.40 | $6.98 – $115.20 |
| UPMC Community Osteopathic | Harrisburg | $61.20 | $10.63 – $77.35 |
| UPMC East | Monroeville | $159.60 | $10.62 – $212.80 |
| UPMC Hamot | Erie | $198.00 | $10.62 – $20.78 |
| UPMC Northwest | Seneca | $241.20 | $9.74 – $16.85 |