Revasc lithotrip-stent-ather at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$36,839.40
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.
$61,399.00
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.
$3,098.55 with Capital Blue Cross vs $60,682.14 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 |
|---|---|---|---|
| Capital Blue Cross | CHIP | $3,098.55 | ↓ -92% |
| Keystone Health Plan | Commercial | $3,098.55 | ↓ -92% |
| Capital Blue Cross | Commercial | $3,098.55 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $4,551.70 | ↓ -88% |
| Prime Net | Managed Medicare | $10,130.83 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $12,279.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $12,279.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $13,726.63 | ↓ -63% |
| Aetna | Medicare | $17,959.10 | ↓ -51% |
| Cigna | Medicare | $18,079.63 | ↓ -51% |
| Geisinger | Medicare | $18,079.63 | ↓ -51% |
| United Healthcare | Medicare | $18,424.01 | ↓ -50% |
| Prime Net | ACO/Legacy Commercial | $25,173.59 | ↓ -32% |
| Aetna | ACO | $25,357.79 | ↓ -31% |
| Keystone Autism Services | ACAP | $27,549.92 | ↓ -25% |
| Prime Net | GateKeeper/NonGateKeeper | $29,287.32 | ↓ -21% |
| Aetna | Commercial | $29,471.52 | ↓ -20% |
| United Healthcare | Commercial | $31,866.08 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $33,769.45 | ↓ -8% |
| Geisinger | Commercial | $40,204.07 | ↑ +9% |
| Wellspan Population Health | Commercial | $42,979.30 | ↑ +17% |
| UPMC Health Plan | CHIP | $42,979.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $42,979.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $45,742.25 | ↑ +24% |
| Cigna | Commercial | $47,891.22 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $52,189.15 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $57,035.22 | ↑ +55% |
| Highmark BCBS of PA | Commercial | $60,682.14 | ↑ +65% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Revasc lithotrip-stent-ather at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $36,839.40 | $8,411.66 – $52,189.15 |
| UPMC Community Osteopathic | Harrisburg | $36,839.40 | $2,996.70 – $52,189.15 |
| UPMC Hamot | Erie | $35,721.00 | $5,584.62 – $24,899.21 |
| UPMC Hanover | Hanover | $36,839.40 | $13,726.63 – $27,446.48 |
| UPMC Lititz | Lititz | $36,839.40 | $13,726.63 – $27,594.74 |
| UPMC Passavant-McCandless | Pittsburgh | $34,634.40 | $5,637.79 – $18,831.54 |
| UPMC Somerset | Somerset | $36,839.40 | $5,528.13 – $18,487.43 |
| UPMC St. Margaret | Pittsburgh | $30,547.80 | $5,637.79 – $18,831.54 |