Removal cerumen impacted (both sides) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$120.60
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.
$201.00
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.
$15.15 with Highmark BCBS of PA vs $1,016.56 with United Healthcare Community Plan for Families — 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 | $15.15 | ↓ -87% |
| Prime Net | Managed Medicare | $33.16 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $40.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $40.20 | ↓ -67% |
| UPMC Health Plan | CHIP | $48.78 | ↓ -60% |
| Aetna | Medicare | $59.41 | ↓ -51% |
| Geisinger | Medicare | $59.81 | ↓ -50% |
| Cigna | Medicare | $59.81 | ↓ -50% |
| United Healthcare | Medicare | $60.95 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $71.39 | ↓ -41% |
| Prime Net | ACO/Legacy Commercial | $82.41 | ↓ -32% |
| Aetna | ACO | $83.01 | ↓ -31% |
| Keystone Autism Services | ACAP | $91.14 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $95.88 | ↓ -20% |
| Aetna | Commercial | $96.48 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $110.55 | ↓ -8% |
| Keystone Health Plan | Commercial | $127.78 | ↑ +6% |
| Geisinger | Commercial | $131.61 | ↑ +9% |
| Wellspan Population Health | Commercial | $140.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $140.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $149.75 | ↑ +24% |
| Cigna | Commercial | $156.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $170.85 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $188.67 | ↑ +56% |
| Highmark BCBS of PA | Commercial | $200.74 | ↑ +66% |
| Capital Blue Cross | Commercial | $400.05 | ↑ +232% |
| Capital Blue Cross | CHIP | $400.05 | ↑ +232% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +743% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Removal cerumen impacted (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $120.00 | $18.59 – $160.00 |
| UPMC Bedford | Everett | $75.60 | $20.43 – $113.40 |
| UPMC Carlisle | Carlisle | $120.60 | $27.54 – $1,016.56 |
| UPMC Cole | Coudersport | $153.00 | $9.70 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $120.60 | $40.20 – $1,016.56 |
| UPMC East | Monroeville | $76.80 | $18.77 – $102.40 |
| UPMC Hamot | Erie | $139.80 | $18.59 – $82.37 |
| UPMC Northwest | Seneca | $79.80 | $23.04 – $68.22 |