System pacing micra av at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$9,256.80
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.
$15,428.00
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.
$1,116.69 with Aetna vs $13,113.80 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 | $1,116.69 | ↓ -88% |
| Prime Net | Managed Medicare | $2,545.62 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $2,765.09 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $3,085.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3,085.60 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $5,091.24 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,142.15 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5,862.64 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $6,325.48 | ↓ -32% |
| Aetna | ACO | $6,371.76 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $7,359.16 | ↓ -20% |
| Aetna | Commercial | $7,405.44 | ↓ -20% |
| Capital Blue Cross | Commercial | $9,340.11 | ↑ +1% |
| Capital Blue Cross | CHIP | $9,340.11 | ↑ +1% |
| United Healthcare | Commercial | $9,503.65 | ↑ +3% |
| Keystone Health Plan | Commercial | $9,807.58 | ↑ +6% |
| Geisinger | Commercial | $10,102.25 | ↑ +9% |
| Wellspan Population Health | Commercial | $10,799.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $10,799.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $11,493.86 | ↑ +24% |
| Cigna | Commercial | $12,033.84 | ↑ +30% |
| UPMC Health Plan | CHIP | $13,088.54 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13,113.80 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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System pacing micra av at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $23,908.80 | $1,470.41 – $13,088.54 |
| UPMC Bedford | Everett | $5,210.40 | $1,649.96 – $13,088.54 |
| UPMC Cole | Coudersport | $3,982.20 | $1,261.03 – $5,309.60 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $17,857.72 |
| UPMC East | Monroeville | $27,721.80 | $3,424.88 – $16,902.40 |
| UPMC Hamot | Erie | $34,719.00 | $3,392.57 – $3,392.57 |
| UPMC Northwest | Seneca | $6,175.20 | $8,805.02 – $15,838.31 |
| UPMC Jameson | New Castle | $7,359.00 | $1,116.69 – $13,088.54 |