Remove vaginal foreign body 57415 at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,786.60
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.
$6,311.00
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.
$45.45 with Highmark BCBS of PA vs $10,744.76 with Highmark BCBS of PA — 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 | $45.45 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $132.82 | ↓ -96% |
| UPMC Health Plan | CHIP | $184.35 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -73% |
| Prime Net | Managed Medicare | $1,041.32 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $1,262.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,262.20 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $2,587.51 | ↓ -32% |
| Aetna | ACO | $2,606.44 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $3,010.35 | ↓ -20% |
| Aetna | Commercial | $3,029.28 | ↓ -20% |
| Aetna | Medicare | $3,179.95 | ↓ -16% |
| Geisinger | Medicare | $3,201.29 | ↓ -15% |
| Cigna | Medicare | $3,201.29 | ↓ -15% |
| United Healthcare | Medicare | $3,262.27 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $3,471.05 | ↓ -8% |
| Geisinger | Commercial | $4,132.44 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,417.70 | ↑ +17% |
| Wellspan Population Health | Commercial | $4,417.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,701.69 | ↑ +24% |
| Keystone Autism Services | ACAP | $4,878.16 | ↑ +29% |
| Cigna | Commercial | $4,922.58 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,364.35 | ↑ +42% |
| Keystone Health Plan | Commercial | $5,588.10 | ↑ +48% |
| Capital Blue Cross | Commercial | $5,588.10 | ↑ +48% |
| Capital Blue Cross | CHIP | $5,588.10 | ↑ +48% |
| Highmark BCBS of PA | Medicaid | $10,099.01 | ↑ +167% |
| Highmark BCBS of PA | Commercial | $10,744.76 | ↑ +184% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Remove vaginal foreign body 57415 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,786.60 | $104.96 – $5,364.35 |
| UPMC Community Osteopathic | Harrisburg | $3,786.60 | $132.82 – $5,364.35 |
| UPMC Hanover | Hanover | $3,786.60 | $132.82 – $4,859.86 |
| UPMC Lititz | Lititz | $3,786.60 | $104.96 – $4,886.10 |
| UPMC Somerset | Somerset | $3,786.60 | $55.20 – $3,273.50 |
| Uniontown Hospital | Uniontown | $4,006.00 | $205.80 – $6,516.82 |
| UPMC Altoona | Altoona | not published | $55.76 – $3,273.80 |
| UPMC Hamot | Erie | not published | $55.76 – $4,408.81 |