Stent bronch dumon sil 10x40mm at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$5,596.20
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.
$9,327.00
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.
$269.07 with Aetna vs $7,927.95 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 |
|---|---|---|---|
| Aetna | Medicare | $269.07 | ↓ -95% |
| Highmark BCBS of PA | Medicare | $777.23 | ↓ -86% |
| Prime Net | Managed Medicare | $1,538.95 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,865.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,865.40 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $3,077.91 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,108.69 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3,544.26 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $3,824.07 | ↓ -32% |
| Aetna | ACO | $3,852.05 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $4,448.98 | ↓ -20% |
| Aetna | Commercial | $4,476.96 | ↓ -20% |
| Capital Blue Cross | Commercial | $5,646.57 | ↑ +1% |
| Capital Blue Cross | CHIP | $5,646.57 | ↑ +1% |
| United Healthcare | Commercial | $5,745.43 | ↑ +3% |
| Keystone Health Plan | Commercial | $5,929.17 | ↑ +6% |
| Geisinger | Commercial | $6,107.32 | ↑ +9% |
| UPMC Health Plan | CHIP | $6,295.74 | ↑ +13% |
| Wellspan Population Health | Commercial | $6,528.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $6,528.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,948.61 | ↑ +24% |
| Cigna | Commercial | $7,275.06 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,927.95 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Stent bronch dumon sil 10x40mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $5,596.20 | $1,865.40 – $7,927.95 |
| UPMC East | Monroeville | $5,943.00 | $962.68 – $7,924.00 |
| UPMC Hamot | Erie | $14,054.40 | $953.60 – $953.60 |
| UPMC Jameson | New Castle | $8,667.60 | $269.07 – $6,295.74 |
| UPMC Magee | Pittsburgh | $12,235.80 | $295.98 – $6,295.74 |
| UPMC McKeesport | Mckeesport | $13,006.80 | $295.98 – $6,295.74 |
| UPMC Mercy | Pittsburgh | $13,557.00 | $953.60 – $4,971.39 |
| UPMC Passavant-McCandless | Pittsburgh | $10,323.00 | $962.68 – $9,135.91 |