Tc-99m succimer (dmsa) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,749.60
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.
$2,916.00
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.
$191.84 with Highmark BCBS of PA vs $2,478.60 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $191.84 | ↓ -89% |
| Prime Net | Managed Medicare | $481.14 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $583.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $583.20 | ↓ -67% |
| Aetna | Medicare | $611.41 | ↓ -65% |
| Capital Blue Cross | Commercial | $744.84 | ↓ -57% |
| Capital Blue Cross | CHIP | $744.84 | ↓ -57% |
| UPMC Health Plan | CHIP | $753.65 | ↓ -57% |
| Keystone Health Plan | Commercial | $782.08 | ↓ -55% |
| Cigna | Commercial | $862.09 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $1,195.56 | ↓ -32% |
| Aetna | ACO | $1,204.31 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,390.93 | ↓ -21% |
| Aetna | Commercial | $1,399.68 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,603.80 | ↓ -8% |
| United Healthcare | Commercial | $1,796.26 | ↑ +3% |
| Geisinger | Commercial | $1,909.40 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,041.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,041.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,172.42 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,478.60 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m succimer (dmsa) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $465.60 | $235.38 – $1,765.14 |
| UPMC Carlisle | Carlisle | $1,749.60 | $399.49 – $2,478.60 |
| UPMC Community Osteopathic | Harrisburg | $1,749.60 | $391.92 – $2,478.60 |
| UPMC Hamot | Erie | $1,420.20 | $235.38 – $1,872.96 |
| UPMC Hanover | Hanover | $1,749.60 | $753.65 – $862.09 |
| UPMC Kane | Kane | $454.20 | $554.97 – $970.83 |
| UPMC Lititz | Lititz | $1,749.60 | $611.41 – $862.09 |
| UPMC Magee | Pittsburgh | $1,582.20 | $237.62 – $753.65 |