Tcd emboli detect without inj at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$240.60
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.
?
What you pay up front if you don't use insurance.
$401.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.17 with Prime Net vs $801.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $66.17 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $80.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $80.20 | ↓ -67% |
| Aetna | Medicare | $106.35 | ↓ -56% |
| Geisinger | Medicare | $107.07 | ↓ -55% |
| Cigna | Medicare | $107.07 | ↓ -55% |
| United Healthcare | Medicare | $109.11 | ↓ -55% |
| Highmark BCBS of PA | Medicare | $111.40 | ↓ -54% |
| United Healthcare Community Plan for Families | PA Medicaid | $115.11 | ↓ -52% |
| Keystone Autism Services | ACAP | $163.15 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $164.41 | ↓ -32% |
| Aetna | ACO | $165.61 | ↓ -31% |
| Highmark Wholecare (prev Gateway) | Medicaid | $173.95 | ↓ -28% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $173.95 | ↓ -28% |
| UPMC Health Plan | Managed Medicaid | $178.06 | ↓ -26% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $186.55 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $191.28 | ↓ -20% |
| Aetna | Commercial | $192.48 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $199.51 | ↓ -17% |
| Capital Blue Cross | Commercial | $242.77 | ↑ +1% |
| Capital Blue Cross | CHIP | $242.77 | ↑ +1% |
| Keystone Health Plan | Commercial | $254.92 | ↑ +6% |
| Geisinger | Commercial | $262.57 | ↑ +9% |
| Wellspan Population Health | Commercial | $280.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $280.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $280.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $298.75 | ↑ +24% |
| Cigna | Commercial | $312.78 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $337.77 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $340.85 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $359.36 | ↑ +49% |
| UPMC Work Partners | Workers Comp | $452.63 | ↑ +88% |
| United Healthcare | Commercial | $801.00 | ↑ +233% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Tcd emboli detect without inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $950.40 | $103.39 – $1,267.20 |
| UPMC Carlisle | Carlisle | $240.60 | $54.94 – $452.63 |
| UPMC Community Osteopathic | Harrisburg | $240.60 | $80.20 – $452.63 |
| UPMC Hanover | Hanover | $240.60 | $100.57 – $452.63 |
| UPMC Lititz | Lititz | $240.60 | $101.12 – $452.63 |
| UPMC Magee | Pittsburgh | $808.20 | $94.88 – $432.51 |
| UPMC Somerset | Somerset | $240.60 | $100.37 – $432.51 |