Rem interrog evl pm/ids at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$136.20
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.
$227.00
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.
$25.39 with AmeriHealth Caritas vs $3,098.55 with Keystone Health Plan — 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 | $25.39 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.39 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $25.99 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $26.19 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $27.23 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $29.12 | ↓ -79% |
| Aetna | Medicare | $37.30 | ↓ -73% |
| Prime Net | Managed Medicare | $37.45 | ↓ -73% |
| Geisinger | Medicare | $37.55 | ↓ -72% |
| Cigna | Medicare | $37.55 | ↓ -72% |
| United Healthcare | Medicare | $38.26 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $45.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $45.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $51.13 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $55.31 | ↓ -59% |
| Keystone Autism Services | ACAP | $57.22 | ↓ -58% |
| UPMC Health Plan | CHIP | $91.78 | ↓ -33% |
| Prime Net | ACO/Legacy Commercial | $93.07 | ↓ -32% |
| Aetna | ACO | $93.75 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $108.28 | ↓ -20% |
| Aetna | Commercial | $108.96 | ↓ -20% |
| United Healthcare | Commercial | $117.81 | ↓ -14% |
| Highmark BCBS of PA | Medicaid | $118.45 | ↓ -13% |
| Highmark BCBS of PA | Commercial | $126.03 | ↓ -7% |
| Geisinger | Commercial | $148.64 | ↑ +9% |
| Wellspan Population Health | Commercial | $158.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $158.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $169.12 | ↑ +24% |
| Cigna | Commercial | $177.06 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $192.95 | ↑ +42% |
| Capital Blue Cross | CHIP | $3,098.55 | ↑ +2175% |
| Capital Blue Cross | Commercial | $3,098.55 | ↑ +2175% |
| Keystone Health Plan | Commercial | $3,098.55 | ↑ +2175% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Rem interrog evl pm/ids at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $345.00 | $21.99 – $62.73 |
| UPMC Hanover | Hanover | $136.20 | $25.39 – $56.99 |
| UPMC Jameson | New Castle | $388.80 | $21.99 – $63.84 |
| UPMC Magee | Pittsburgh | $406.20 | $21.99 – $63.33 |
| UPMC Passavant-McCandless | Pittsburgh | $223.80 | $21.99 – $63.33 |
| UPMC Presbyterian | Pittsburgh | $218.40 | $21.99 – $73.12 |
| UPMC St. Margaret | Pittsburgh | $154.80 | $21.99 – $63.33 |
| UPMC Williamsport | Williamsport | $229.80 | $21.99 – $58.39 |