Prq trluml revsc ch occ ant at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$15,411.00
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.
$25,685.00
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.
$469.07 with Highmark BCBS of PA vs $38,323.81 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 | $469.07 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $1,008.17 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -93% |
| Prime Net | Managed Medicare | $4,238.02 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $5,137.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $5,137.00 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $10,530.85 | ↓ -32% |
| Aetna | ACO | $10,607.91 | ↓ -31% |
| Aetna | Medicare | $11,342.07 | ↓ -26% |
| Geisinger | Medicare | $11,418.19 | ↓ -26% |
| Cigna | Medicare | $11,418.19 | ↓ -26% |
| United Healthcare | Medicare | $11,635.68 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $12,251.75 | ↓ -20% |
| Aetna | Commercial | $12,328.80 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $14,126.75 | ↓ -8% |
| Geisinger | Commercial | $16,818.54 | ↑ +9% |
| Cigna | Commercial | $17,298.00 | ↑ +12% |
| Keystone Autism Services | ACAP | $17,399.15 | ↑ +13% |
| UPMC Health Plan | CHIP | $17,979.50 | ↑ +17% |
| Wellspan Population Health | Commercial | $17,979.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $17,979.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $19,135.33 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $21,832.25 | ↑ +42% |
| Capital Blue Cross | Commercial | $26,253.15 | ↑ +70% |
| Capital Blue Cross | CHIP | $26,253.15 | ↑ +70% |
| Keystone Health Plan | Commercial | $26,253.15 | ↑ +70% |
| Highmark BCBS of PA | Medicaid | $36,020.59 | ↑ +134% |
| Highmark BCBS of PA | Commercial | $38,323.81 | ↑ +149% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Prq trluml revsc ch occ ant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,183.20 | $575.52 – $13,576.80 |
| UPMC Carlisle | Carlisle | $15,411.00 | $1,008.17 – $21,832.25 |
| UPMC Community Osteopathic | Harrisburg | $15,411.00 | $1,008.17 – $21,832.25 |
| UPMC East | Monroeville | $24,012.00 | $581.00 – $32,016.00 |
| UPMC Hanover | Hanover | $15,411.00 | $1,008.17 – $17,333.84 |
| UPMC Lititz | Lititz | $15,411.00 | $1,008.17 – $17,427.46 |
| UPMC McKeesport | Mckeesport | $23,637.00 | $581.00 – $963.36 |
| UPMC Mercy | Pittsburgh | $23,616.60 | $575.52 – $1,071.35 |