Prq card revasc chronic addl at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,477.60
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.
?
What you pay up front if you don't use insurance.
$5,796.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$230.02 with Highmark BCBS of PA vs $26,253.15 with Capital Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $230.02 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $352.27 | ↓ -90% |
| Prime Net | Managed Medicare | $956.34 | ↓ -73% |
| Aetna | Medicare | $1,153.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,159.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,159.20 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $2,376.36 | ↓ -32% |
| Aetna | ACO | $2,393.75 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $2,764.69 | ↓ -21% |
| Aetna | Commercial | $2,782.08 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $3,187.80 | ↓ -8% |
| Geisinger | Commercial | $3,795.22 | ↑ +9% |
| Wellspan Population Health | Commercial | $4,057.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $4,057.20 | ↑ +17% |
| UPMC Health Plan | CHIP | $4,057.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,318.02 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,926.60 | ↑ +42% |
| Cigna | Commercial | $17,298.00 | ↑ +397% |
| Capital Blue Cross | CHIP | $26,253.15 | ↑ +655% |
| Keystone Health Plan | Commercial | $26,253.15 | ↑ +655% |
| Capital Blue Cross | Commercial | $26,253.15 | ↑ +655% |
| United Healthcare | Commercial | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Prq card revasc chronic addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,477.60 | $352.27 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $3,477.60 | $352.27 – $4,926.60 |
| UPMC Hanover | Hanover | $3,477.60 | $352.27 – $352.27 |
| UPMC Lititz | Lititz | $3,477.60 | $352.27 – $352.27 |
| UPMC Mercy | Pittsburgh | $23,616.60 | $282.22 – $282.22 |
| UPMC Somerset | Somerset | $3,477.60 | $279.37 – $309.25 |