Prq av fstl crt uxtr sep acs at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$37,664.40
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.
$62,774.00
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.
$3,078.46 with Highmark BCBS of PA vs $60,682.14 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $3,078.46 | ↓ -92% |
| Cigna | Commercial | $9,539.00 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $10,193.35 | ↓ -73% |
| Prime Net | Managed Medicare | $10,357.71 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $12,554.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $12,554.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $13,726.63 | ↓ -64% |
| Aetna | Medicare | $17,959.10 | ↓ -52% |
| Cigna | Medicare | $18,079.63 | ↓ -52% |
| Geisinger | Medicare | $18,079.63 | ↓ -52% |
| United Healthcare | Medicare | $18,424.01 | ↓ -51% |
| Capital Blue Cross | CHIP | $22,309.35 | ↓ -41% |
| Capital Blue Cross | Commercial | $22,309.35 | ↓ -41% |
| Keystone Health Plan | Commercial | $22,309.35 | ↓ -41% |
| Prime Net | ACO/Legacy Commercial | $25,737.34 | ↓ -32% |
| Aetna | ACO | $25,925.66 | ↓ -31% |
| Keystone Autism Services | ACAP | $27,549.92 | ↓ -27% |
| Prime Net | GateKeeper/NonGateKeeper | $29,943.20 | ↓ -20% |
| Aetna | Commercial | $30,131.52 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $34,525.70 | ↓ -8% |
| Geisinger | Commercial | $41,104.42 | ↑ +9% |
| UPMC Health Plan | Commercial | $43,941.80 | ↑ +17% |
| Wellspan Population Health | Commercial | $43,941.80 | ↑ +17% |
| UPMC Health Plan | CHIP | $43,941.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $46,766.63 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $53,357.90 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $57,035.22 | ↑ +51% |
| Highmark BCBS of PA | Commercial | $60,682.14 | ↑ +61% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Prq av fstl crt uxtr sep acs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $37,664.40 | $8,600.04 – $53,357.90 |
| UPMC Community Osteopathic | Harrisburg | $37,664.40 | $5,180.00 – $53,357.90 |
| UPMC Northwest | Seneca | $33,250.80 | $9,740.32 – $18,489.15 |
| UPMC Hanover | Hanover | $37,664.40 | $10,193.35 – $27,446.48 |
| UPMC Lititz | Lititz | $37,664.40 | $10,193.35 – $27,594.74 |
| UPMC Magee | Pittsburgh | $33,250.80 | $3,813.03 – $18,831.54 |
| UPMC Mercy | Pittsburgh | $33,250.80 | $3,777.06 – $18,831.54 |
| UPMC Presbyterian | Pittsburgh | $44,334.00 | $3,813.03 – $18,831.54 |