healthcosts.net
Sleep Study (Polysomnography) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$4,279.20
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.
$7,132.00
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.
$354.12 with United Healthcare Community Plan for Families vs $5,320.15 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $354.12 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $411.23 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $440.13 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $440.13 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $450.53 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $472.01 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $504.80 | ↓ -88% |
| UPMC Health Plan | CHIP | $944.22 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $1,013.07 | ↓ -76% |
| Aetna | Medicare | $1,017.53 | ↓ -76% |
| Cigna | Medicare | $1,024.36 | ↓ -76% |
| Geisinger | Medicare | $1,024.36 | ↓ -76% |
| Prime Net | Managed Medicare | $1,032.73 | ↓ -76% |
| United Healthcare | Medicare | $1,043.87 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $1,251.80 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $1,251.80 | ↓ -71% |
| Keystone Autism Services | ACAP | $1,560.93 | ↓ -64% |
| Capital Blue Cross | CHIP | $2,148.30 | ↓ -50% |
| Keystone Health Plan | Commercial | $2,148.30 | ↓ -50% |
| Capital Blue Cross | Commercial | $2,148.30 | ↓ -50% |
| Prime Net | ACO/Legacy Commercial | $2,566.19 | ↓ -40% |
| Aetna | ACO | $2,584.97 | ↓ -40% |
| Prime Net | GateKeeper/NonGateKeeper | $2,985.54 | ↓ -30% |
| Aetna | Commercial | $3,004.32 | ↓ -30% |
| Highmark BCBS of PA | Medicaid | $3,231.51 | ↓ -24% |
| Highmark BCBS of PA | Commercial | $3,438.14 | ↓ -20% |
| United Healthcare | Commercial | $3,865.00 | ↓ -10% |
| Geisinger | Commercial | $4,098.39 | ↓ -4% |
| Wellspan Population Health | Commercial | $4,381.30 | ↑ +2% |
| UPMC Health Plan | Commercial | $4,381.30 | ↑ +2% |
| Prime Net | FH-Medical Rental | $4,662.95 | ↑ +9% |
| Cigna | Commercial | $4,882.02 | ↑ +14% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,320.15 | ↑ +24% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Sleep Study (Polysomnography) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,373.60 | $381.22 – $11,862.60 |
| UPMC Hamot | Erie | $2,098.80 | $281.14 – $2,448.60 |
| UPMC Carlisle | Carlisle | $4,279.20 | $354.12 – $5,320.15 |
| UPMC Altoona | Altoona | $2,265.00 | $270.32 – $3,020.00 |
| UPMC Bedford | Everett | $3,163.20 | $349.96 – $4,744.80 |
| UPMC Hanover | Hanover | $4,279.20 | $354.12 – $5,445.33 |
| UPMC Horizon-Greenville | Greenville | $3,986.40 | $363.89 – $5,647.40 |
| UPMC Lititz | Lititz | $4,279.20 | $354.12 – $5,320.15 |