healthcosts.net
Rapid Strep Test at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$93.00
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.
$155.00
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.
$6.30 with AmeriHealth Caritas vs $131.75 with Multiplan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.30 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.00 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $8.19 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $8.25 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.58 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $9.18 | ↓ -90% |
| Highmark BCBS of PA | Medicare | $12.97 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $17.10 | ↓ -82% |
| Aetna | Medicare | $17.24 | ↓ -81% |
| Cigna | Medicare | $17.36 | ↓ -81% |
| Geisinger | Medicare | $17.36 | ↓ -81% |
| United Healthcare | Medicare | $17.69 | ↓ -81% |
| Prime Net | Managed Medicare | $25.57 | ↓ -73% |
| Keystone Autism Services | ACAP | $26.45 | ↓ -72% |
| United Healthcare | Commercial | $29.47 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $31.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $31.00 | ↓ -67% |
| UPMC Health Plan | CHIP | $35.67 | ↓ -62% |
| Cigna | Commercial | $42.96 | ↓ -54% |
| Highmark BCBS of PA | Medicaid | $54.75 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $58.26 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $63.55 | ↓ -32% |
| Aetna | ACO | $64.02 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $73.94 | ↓ -20% |
| Aetna | Commercial | $74.40 | ↓ -20% |
| Capital Blue Cross | CHIP | $79.67 | ↓ -14% |
| Keystone Health Plan | Commercial | $79.67 | ↓ -14% |
| Capital Blue Cross | Commercial | $79.67 | ↓ -14% |
| Geisinger | Commercial | $101.49 | ↑ +9% |
| Wellspan Population Health | Commercial | $108.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $108.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $115.47 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $131.75 | ↑ +42% |
Visitor-reported prices
Comments
Rapid Strep Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $34.80 | $6.30 – $46.40 |
| UPMC Passavant-McCandless | Pittsburgh | $62.40 | $6.93 – $88.40 |
| UPMC Carlisle | Carlisle | $93.00 | $6.30 – $131.75 |
| UPMC Altoona | Altoona | $67.80 | $6.30 – $90.40 |
| UPMC Bedford | Everett | $41.40 | $5.96 – $62.10 |
| UPMC Cole | Coudersport | $59.40 | $6.62 – $79.20 |
| UPMC Community Osteopathic | Harrisburg | $93.00 | $6.30 – $131.75 |
| UPMC Hanover | Hanover | $93.00 | $6.30 – $134.85 |