Rmvl pm gen w/rplc pm gen mlt lead sys at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$27,759.00
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.
$46,265.00
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.
$380.22 with Highmark BCBS of PA vs $39,325.25 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $380.22 | ↓ -99% |
| Aetna | Medicare | $400.92 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $565.13 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -96% |
| Prime Net | Managed Medicare | $7,633.73 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $9,253.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $9,253.00 | ↓ -67% |
| Keystone Health Plan | Commercial | $9,437.40 | ↓ -66% |
| Cigna | Commercial | $17,298.00 | ↓ -38% |
| Prime Net | ACO/Legacy Commercial | $18,968.65 | ↓ -32% |
| Aetna | ACO | $19,107.44 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $22,068.40 | ↓ -21% |
| Aetna | Commercial | $22,207.20 | ↓ -20% |
| Capital Blue Cross | Commercial | $22,309.35 | ↓ -20% |
| Capital Blue Cross | CHIP | $22,309.35 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $25,445.75 | ↓ -8% |
| Geisinger | Commercial | $30,294.32 | ↑ +9% |
| Wellspan Population Health | Commercial | $32,385.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $32,385.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $32,385.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $34,467.43 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $39,325.25 | ↑ +42% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Rmvl pm gen w/rplc pm gen mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,816.40 | $466.50 – $19,636.62 |
| UPMC Carlisle | Carlisle | $27,759.00 | $565.13 – $39,325.25 |
| UPMC Community Osteopathic | Harrisburg | $27,759.00 | $565.13 – $39,325.25 |
| UPMC East | Monroeville | $30,141.60 | $470.95 – $40,188.80 |
| UPMC Hamot | Erie | $9,586.80 | $466.50 – $26,444.52 |
| UPMC Hanover | Hanover | $27,759.00 | $565.13 – $29,149.89 |
| UPMC Lititz | Lititz | $27,759.00 | $400.92 – $1,016.56 |
| UPMC Mercy | Pittsburgh | $29,639.40 | $466.50 – $20,000.27 |