Remove cva lumen obstruct at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$682.80
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.
$1,138.00
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.
$58.77 with United Healthcare Community Plan for Families vs $967.30 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $58.77 | ↓ -91% |
| Highmark BCBS of PA | Medicare | $66.52 | ↓ -90% |
| Aetna | Medicare | $81.92 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $169.09 | ↓ -75% |
| Premier Comp Solutions | Worker's Comp | $169.09 | ↓ -75% |
| Prime Net | Managed Medicare | $187.77 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $227.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $227.60 | ↓ -67% |
| UPMC Health Plan | CHIP | $287.73 | ↓ -58% |
| Prime Net | ACO/Legacy Commercial | $466.58 | ↓ -32% |
| Aetna | ACO | $469.99 | ↓ -31% |
| Capital Blue Cross | Commercial | $525.63 | ↓ -23% |
| Keystone Health Plan | Commercial | $525.63 | ↓ -23% |
| Capital Blue Cross | CHIP | $525.63 | ↓ -23% |
| Prime Net | GateKeeper/NonGateKeeper | $542.83 | ↓ -20% |
| Aetna | Commercial | $546.24 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $625.90 | ↓ -8% |
| Geisinger | Commercial | $745.16 | ↑ +9% |
| Wellspan Population Health | Commercial | $796.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $796.60 | ↑ +17% |
| United Healthcare | Commercial | $837.57 | ↑ +23% |
| Prime Net | FH-Medical Rental | $847.81 | ↑ +24% |
| Cigna | Commercial | $887.64 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $967.30 | ↑ +42% |
Visitor-reported prices
Comments
Remove cva lumen obstruct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $682.80 | $58.77 – $967.30 |
| UPMC Community Osteopathic | Harrisburg | $682.80 | $58.77 – $967.30 |
| UPMC Hamot | Erie | $454.20 | $81.62 – $182.38 |
| UPMC Hanover | Hanover | $682.80 | $58.77 – $287.73 |
| UPMC Lititz | Lititz | $682.80 | $58.77 – $287.73 |
| UPMC Magee | Pittsburgh | $400.20 | $82.40 – $229.36 |
| UPMC Presbyterian | Pittsburgh | $669.00 | $53.83 – $245.94 |
| UPMC Somerset | Somerset | $682.80 | $51.59 – $216.42 |