Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,664.40
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.
$2,774.00
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.
$457.71 with Prime Net vs $2,655.46 with UPMC 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $457.71 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $554.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $554.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $596.00 | ↓ -64% |
| Aetna | Medicare | $612.21 | ↓ -63% |
| Geisinger | Medicare | $616.32 | ↓ -63% |
| Cigna | Medicare | $616.32 | ↓ -63% |
| United Healthcare | Medicare | $628.06 | ↓ -62% |
| Highmark BCBS of PA | Medicare | $682.16 | ↓ -59% |
| Keystone Autism Services | ACAP | $939.15 | ↓ -44% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $1,137.34 | ↓ -32% |
| Aetna | ACO | $1,145.66 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,323.20 | ↓ -20% |
| Aetna | Commercial | $1,331.52 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,525.70 | ↓ -8% |
| Geisinger | Commercial | $1,816.42 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,941.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,941.80 | ↑ +17% |
| Highmark BCBS of PA | Medicaid | $1,944.28 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,066.63 | ↑ +24% |
| Highmark BCBS of PA | Commercial | $2,068.60 | ↑ +24% |
| Cigna | Commercial | $2,163.72 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,357.90 | ↑ +42% |
| Capital Blue Cross | CHIP | $2,577.75 | ↑ +55% |
| Keystone Health Plan | Commercial | $2,577.75 | ↑ +55% |
| Capital Blue Cross | Commercial | $2,577.75 | ↑ +55% |
| UPMC Health Plan | CHIP | $2,655.46 | ↑ +60% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,402.20 | $577.06 – $1,869.60 |
| UPMC Bedford | Everett | $1,863.00 | $210.56 – $2,794.50 |
| UPMC Carlisle | Carlisle | $1,664.40 | $322.07 – $2,357.90 |
| UPMC Cole | Coudersport | $1,941.60 | $195.70 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $1,664.40 | $554.80 – $2,655.46 |
| UPMC East | Monroeville | $3,504.60 | $585.17 – $4,672.80 |
| UPMC Hamot | Erie | $3,582.60 | $603.82 – $848.80 |
| UPMC Northwest | Seneca | $5,299.20 | $529.26 – $630.28 |