Tc-99m mertiatide at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,284.60
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.
$2,141.00
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.
$96.18 with Capital Blue Cross vs $1,819.85 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 |
|---|---|---|---|
| Capital Blue Cross | CHIP | $96.18 | ↓ -93% |
| Capital Blue Cross | Commercial | $96.18 | ↓ -93% |
| Keystone Health Plan | Commercial | $100.99 | ↓ -92% |
| Prime Net | Managed Medicare | $353.26 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $428.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $428.20 | ↓ -67% |
| Aetna | Medicare | $509.53 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $674.95 | ↓ -47% |
| Prime Net | ACO/Legacy Commercial | $877.81 | ↓ -32% |
| Aetna | ACO | $884.23 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,021.26 | ↓ -20% |
| Aetna | Commercial | $1,027.68 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,177.55 | ↓ -8% |
| United Healthcare | Commercial | $1,318.86 | ↑ +3% |
| Geisinger | Commercial | $1,401.93 | ↑ +9% |
| UPMC Health Plan | CHIP | $1,449.95 | ↑ +13% |
| Wellspan Population Health | Commercial | $1,498.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,498.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,595.05 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,819.85 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mertiatide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,634.40 | $828.11 – $2,304.69 |
| UPMC Bedford | Everett | $1,771.80 | $738.25 – $2,657.70 |
| UPMC Carlisle | Carlisle | $1,284.60 | $293.32 – $1,819.85 |
| UPMC Cole | Coudersport | $587.40 | $271.38 – $783.20 |
| UPMC Community Osteopathic | Harrisburg | $1,284.60 | $96.18 – $1,819.85 |
| UPMC East | Monroeville | $4,724.40 | $768.23 – $6,299.20 |
| UPMC Hamot | Erie | $1,470.60 | $588.24 – $2,117.21 |
| UPMC Hanover | Hanover | $1,284.60 | $1,449.95 – $1,449.95 |