Sialolithotomy 42330 at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$3,971.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$6,619.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$81.28 with Highmark Wholecare (prev Gateway) vs $10,959.49 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 →

Payer
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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
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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 Wholecare (prev Gateway) Medicaid $81.28 ↓ -98%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $81.28 ↓ -98%
UPMC Health Plan Managed Medicaid $83.20 ↓ -98%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $87.17 ↓ -98%
Geisinger Medicaid/CHIP $93.22 ↓ -98%
UPMC Work Partners Workers Comp $356.54 ↓ -91%
Highmark BCBS of PA Medicare $682.16 ↓ -83%
United Healthcare Community Plan for Families PA Medicaid $1,016.56 ↓ -74%
Prime Net Managed Medicare $1,092.13 ↓ -73%
Keystone Health Plan Medicare Advantage $1,323.80 ↓ -67%
Capital Blue Cross Medicare Advantage $1,323.80 ↓ -67%
UPMC Health Plan CHIP $2,654.46 ↓ -33%
Prime Net ACO/Legacy Commercial $2,713.79 ↓ -32%
Aetna ACO $2,733.65 ↓ -31%
Prime Net GateKeeper/NonGateKeeper $3,157.26 ↓ -21%
Aetna Commercial $3,177.12 ↓ -20%
Aetna Medicare $3,243.50 ↓ -18%
Cigna Medicare $3,265.27 ↓ -18%
Geisinger Medicare $3,265.27 ↓ -18%
United Healthcare Medicare $3,327.46 ↓ -16%
Capital Blue Cross Commercial $4,172.70 ↑ +5%
Capital Blue Cross CHIP $4,172.70 ↑ +5%
Keystone Health Plan Commercial $4,172.70 ↑ +5%
Geisinger Commercial $4,334.12 ↑ +9%
Wellspan Population Health Commercial $4,633.30 ↑ +17%
UPMC Health Plan Commercial $4,633.30 ↑ +17%
Prime Net FH-Medical Rental $4,931.15 ↑ +24%
Keystone Autism Services ACAP $4,975.65 ↑ +25%
Cigna Commercial $5,162.82 ↑ +30%
Multiplan PPO (Includes PHCS and Humana as Payers) $5,626.15 ↑ +42%
Highmark BCBS of PA Medicaid $10,300.84 ↑ +159%
Highmark BCBS of PA Commercial $10,959.49 ↑ +176%
United Healthcare Commercial not published by hospital
Tricare East Region not published by hospital

Visitor-reported prices

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Sialolithotomy 42330 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $3,971.40 $81.28 – $5,626.15
UPMC Cole Coudersport $1,941.60 $67.20 – $2,325.85
UPMC Community Osteopathic Harrisburg $3,971.40 $81.28 – $5,626.15
UPMC Hanover Hanover $3,971.40 $81.28 – $4,956.96
UPMC Lititz Lititz $3,971.40 $81.28 – $4,983.74
UPMC Somerset Somerset $3,971.40 $70.40 – $3,091.88
Uniontown Hospital Uniontown $1,244.00 $3,213.54 – $7,487.55
UPMC Bedford Everett not published $67.20 – $3,339.23

All Pennsylvania hospitals for this procedure →