Radiotherapy dose plan imrt at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,873.00
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.
$6,455.00
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.
$925.57 with Highmark BCBS of PA vs $26,132.00 with United Healthcare — 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 | $925.57 | ↓ -76% |
| United Healthcare Community Plan for Families | PA Medicaid | $927.26 | ↓ -76% |
| Prime Net | Managed Medicare | $1,065.08 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $1,291.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,291.00 | ↓ -67% |
| Aetna | Medicare | $1,368.44 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,372.12 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,372.12 | ↓ -65% |
| Cigna | Medicare | $1,377.62 | ↓ -64% |
| Geisinger | Medicare | $1,377.62 | ↓ -64% |
| United Healthcare | Medicare | $1,403.86 | ↓ -64% |
| UPMC Health Plan | Managed Medicaid | $1,404.53 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,471.52 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $1,573.73 | ↓ -59% |
| UPMC Health Plan | CHIP | $1,775.48 | ↓ -54% |
| Keystone Autism Services | ACAP | $2,099.23 | ↓ -46% |
| Prime Net | ACO/Legacy Commercial | $2,646.55 | ↓ -32% |
| Aetna | ACO | $2,665.91 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $2,745.22 | ↓ -29% |
| Prime Net | GateKeeper/NonGateKeeper | $3,079.03 | ↓ -21% |
| Aetna | Commercial | $3,098.40 | ↓ -20% |
| Geisinger | Commercial | $4,226.73 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $4,345.94 | ↑ +12% |
| Wellspan Population Health | Commercial | $4,518.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $4,518.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $4,623.82 | ↑ +19% |
| Prime Net | FH-Medical Rental | $4,808.98 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,486.75 | ↑ +42% |
| Cigna | Commercial | $6,544.86 | ↑ +69% |
| Keystone Health Plan | Commercial | $10,674.10 | ↑ +176% |
| Capital Blue Cross | Commercial | $10,674.10 | ↑ +176% |
| Capital Blue Cross | CHIP | $10,674.10 | ↑ +176% |
| United Healthcare | Commercial | $26,132.00 | ↑ +575% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Radiotherapy dose plan imrt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,990.60 | $707.83 – $5,320.80 |
| UPMC Carlisle | Carlisle | $3,873.00 | $884.34 – $5,486.75 |
| UPMC Community Osteopathic | Harrisburg | $3,873.00 | $927.26 – $5,486.75 |
| UPMC East | Monroeville | $4,927.80 | $832.41 – $6,570.40 |
| UPMC Northwest | Seneca | $2,987.40 | $1,120.61 – $2,623.22 |
| UPMC Horizon-Greenville | Greenville | $2,987.40 | $824.39 – $2,623.22 |
| UPMC Lititz | Lititz | $3,873.00 | $927.26 – $2,745.22 |
| UPMC Magee | Pittsburgh | $10,898.40 | $1,146.43 – $2,623.22 |