Remove renal tube w/fluoro at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,200.40
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.
$5,334.00
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.
$667.56 with Aetna vs $4,533.90 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 |
|---|---|---|---|
| Aetna | Medicare | $667.56 | ↓ -79% |
| Cigna | Medicare | $672.04 | ↓ -79% |
| Geisinger | Medicare | $672.04 | ↓ -79% |
| United Healthcare | Medicare | $684.84 | ↓ -79% |
| Highmark BCBS of PA | Medicare | $728.25 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $844.18 | ↓ -74% |
| Prime Net | Managed Medicare | $880.11 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -68% |
| Keystone Autism Services | ACAP | $1,024.06 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,066.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,066.80 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $2,120.07 | ↓ -34% |
| Prime Net | ACO/Legacy Commercial | $2,186.94 | ↓ -32% |
| Aetna | ACO | $2,202.94 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $2,255.63 | ↓ -30% |
| Prime Net | GateKeeper/NonGateKeeper | $2,544.32 | ↓ -20% |
| Aetna | Commercial | $2,560.32 | ↓ -20% |
| UPMC Health Plan | CHIP | $2,833.60 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $2,933.70 | ↓ -8% |
| Keystone Health Plan | Commercial | $2,966.25 | ↓ -7% |
| Capital Blue Cross | CHIP | $2,966.25 | ↓ -7% |
| Capital Blue Cross | Commercial | $2,966.25 | ↓ -7% |
| Cigna | Commercial | $3,397.00 | ↑ +6% |
| Geisinger | Commercial | $3,492.70 | ↑ +9% |
| Wellspan Population Health | Commercial | $3,733.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $3,733.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,973.83 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,533.90 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Remove renal tube w/fluoro at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,950.00 | $648.95 – $2,600.00 |
| UPMC Carlisle | Carlisle | $3,200.40 | $351.19 – $4,533.90 |
| UPMC Cole | Coudersport | $82.20 | $37.98 – $806.66 |
| UPMC Community Osteopathic | Harrisburg | $3,200.40 | $650.01 – $4,533.90 |
| UPMC East | Monroeville | $3,741.60 | $638.07 – $4,988.80 |
| UPMC Hamot | Erie | $1,914.60 | $734.43 – $925.53 |
| UPMC Northwest | Seneca | $1,830.00 | $577.11 – $806.66 |
| UPMC Hanover | Hanover | $3,200.40 | $631.25 – $2,833.60 |