Special radiation dosimetry at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$739.80
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.
$1,233.00
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.
$22.87 with United Healthcare Community Plan for Families vs $26,132.00 with United Healthcare — 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 | $22.87 | ↓ -97% |
| Highmark BCBS of PA | Medicare | $63.54 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.42 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $73.42 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $75.15 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $78.74 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $84.21 | ↓ -89% |
| Keystone Health Plan | Commercial | $114.15 | ↓ -85% |
| Capital Blue Cross | CHIP | $114.15 | ↓ -85% |
| Capital Blue Cross | Commercial | $114.15 | ↓ -85% |
| Aetna | Medicare | $132.78 | ↓ -82% |
| Geisinger | Medicare | $133.68 | ↓ -82% |
| Cigna | Medicare | $133.68 | ↓ -82% |
| United Healthcare | Medicare | $136.22 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $173.88 | ↓ -76% |
| Prime Net | Managed Medicare | $203.44 | ↓ -73% |
| Keystone Autism Services | ACAP | $203.70 | ↓ -72% |
| UPMC Health Plan | CHIP | $235.59 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $246.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $246.60 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $421.70 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $448.67 | ↓ -39% |
| Prime Net | ACO/Legacy Commercial | $505.53 | ↓ -32% |
| Aetna | ACO | $509.23 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $588.14 | ↓ -21% |
| Aetna | Commercial | $591.84 | ↓ -20% |
| Cigna | Commercial | $665.27 | ↓ -10% |
| Geisinger | Commercial | $807.37 | ↑ +9% |
| UPMC Health Plan | Commercial | $863.10 | ↑ +17% |
| Wellspan Population Health | Commercial | $863.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $918.59 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,048.05 | ↑ +42% |
| United Healthcare | Commercial | $26,132.00 | ↑ +3432% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Special radiation dosimetry at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $739.80 | $22.87 – $1,048.05 |
| UPMC Community Osteopathic | Harrisburg | $739.80 | $22.87 – $1,048.05 |
| UPMC East | Monroeville | $338.40 | $63.59 – $451.20 |
| UPMC Northwest | Seneca | $320.40 | $63.59 – $166.15 |
| UPMC Horizon-Greenville | Greenville | $250.80 | $63.59 – $166.15 |
| UPMC Lititz | Lititz | $739.80 | $22.87 – $204.03 |
| UPMC Magee | Pittsburgh | $1,002.60 | $63.59 – $174.27 |
| UPMC Passavant-McCandless | Pittsburgh | $942.00 | $63.59 – $202.64 |