Tc-99m pyroph diag per dose up to 25 mci at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$232.20
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.
$387.00
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.
$19.89 with Capital Blue Cross vs $328.95 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 |
|---|---|---|---|
| Capital Blue Cross | CHIP | $19.89 | ↓ -91% |
| Capital Blue Cross | Commercial | $19.89 | ↓ -91% |
| Keystone Health Plan | Commercial | $20.89 | ↓ -91% |
| Highmark BCBS of PA | Medicare | $49.75 | ↓ -79% |
| Prime Net | Managed Medicare | $63.85 | ↓ -73% |
| Aetna | Medicare | $65.33 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $77.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $77.40 | ↓ -67% |
| Cigna | Commercial | $92.12 | ↓ -60% |
| Prime Net | ACO/Legacy Commercial | $158.67 | ↓ -32% |
| Aetna | ACO | $159.83 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $184.60 | ↓ -20% |
| UPMC Health Plan | CHIP | $185.08 | ↓ -20% |
| Aetna | Commercial | $185.76 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $212.85 | ↓ -8% |
| United Healthcare | Commercial | $238.39 | ↑ +3% |
| Geisinger | Commercial | $253.41 | ↑ +9% |
| Wellspan Population Health | Commercial | $270.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $270.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $288.31 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $328.95 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $211.80 | $61.04 – $282.40 |
| UPMC Carlisle | Carlisle | $232.20 | $53.02 – $328.95 |
| UPMC Cole | Coudersport | $118.80 | $54.89 – $158.40 |
| UPMC Community Osteopathic | Harrisburg | $232.20 | $19.89 – $328.95 |
| UPMC Hamot | Erie | $161.40 | $61.04 – $120.33 |
| UPMC Northwest | Seneca | $93.60 | $158.43 – $223.96 |
| UPMC Jameson | New Castle | $93.60 | $62.12 – $185.08 |
| UPMC Lititz | Lititz | $232.20 | $65.33 – $185.08 |