Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$108.60
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.
$181.00
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.
$8.44 with Aetna vs $387.00 with Cigna — 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 |
|---|---|---|---|
| Aetna | Medicare | $8.44 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.75 | ↓ -91% |
| Highmark BCBS of PA | Medicare | $16.50 | ↓ -85% |
| Prime Net | Managed Medicare | $22.61 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $27.40 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $27.40 | ↓ -75% |
| Prime Net | ACO/Legacy Commercial | $56.17 | ↓ -48% |
| Aetna | ACO | $56.58 | ↓ -48% |
| Prime Net | GateKeeper/NonGateKeeper | $65.35 | ↓ -40% |
| Aetna | Commercial | $65.76 | ↓ -39% |
| UPMC Health Plan | CHIP | $73.25 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $75.35 | ↓ -31% |
| Geisinger | Commercial | $89.71 | ↓ -17% |
| Wellspan Population Health | Commercial | $95.90 | ↓ -12% |
| UPMC Health Plan | Commercial | $95.90 | ↓ -12% |
| Prime Net | FH-Medical Rental | $102.06 | ↓ -6% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $116.45 | ↑ +7% |
| United Healthcare | Commercial | $148.00 | ↑ +36% |
| Keystone Health Plan | Commercial | $274.05 | ↑ +152% |
| Capital Blue Cross | CHIP | $274.05 | ↑ +152% |
| Capital Blue Cross | Commercial | $274.05 | ↑ +152% |
| Cigna | Commercial | $387.00 | ↑ +256% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $108.60 | $9.75 – $387.00 |
| UPMC Cole | Coudersport | $97.80 | $30.77 – $88.80 |
| UPMC East | Monroeville | $104.40 | $20.44 – $139.20 |
| UPMC Northwest | Seneca | $76.20 | $52.54 – $88.64 |
| UPMC Hanover | Hanover | $82.20 | $9.75 – $148.00 |
| UPMC Kane | Kane | $90.60 | $50.84 – $50.84 |
| UPMC Lititz | Lititz | $108.60 | $8.44 – $148.00 |
| UPMC Magee | Pittsburgh | $91.20 | $9.28 – $73.25 |