Training self management diabetes individual outpatient department per 30 minutes at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$70.80
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.
$118.00
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.
$14.52 with Prime Net vs $160.72 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $14.52 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $17.60 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $17.60 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.19 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.19 | ↓ -62% |
| UPMC Health Plan | Managed Medicaid | $27.83 | ↓ -61% |
| United Healthcare Community Plan for Families | PA Medicaid | $28.05 | ↓ -60% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.16 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $31.19 | ↓ -56% |
| Prime Net | ACO/Legacy Commercial | $36.08 | ↓ -49% |
| Aetna | ACO | $36.34 | ↓ -49% |
| Prime Net | GateKeeper/NonGateKeeper | $41.98 | ↓ -41% |
| Aetna | Commercial | $42.24 | ↓ -40% |
| Aetna | Medicare | $49.55 | ↓ -30% |
| Highmark BCBS of PA | Medicare | $51.51 | ↓ -27% |
| Capital Blue Cross | CHIP | $53.28 | ↓ -25% |
| Capital Blue Cross | Commercial | $53.28 | ↓ -25% |
| Keystone Health Plan | Commercial | $55.94 | ↓ -21% |
| Geisinger | Commercial | $57.62 | ↓ -19% |
| Wellspan Population Health | Commercial | $61.60 | ↓ -13% |
| UPMC Health Plan | Commercial | $61.60 | ↓ -13% |
| Prime Net | FH-Medical Rental | $65.56 | ↓ -7% |
| Cigna | Commercial | $68.64 | ↓ -3% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $74.80 | ↑ +6% |
| United Healthcare | Commercial | $115.00 | ↑ +62% |
| UPMC Health Plan | CHIP | $160.72 | ↑ +127% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Training self management diabetes individual outpatient department per 30 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $121.20 | $22.48 – $181.80 |
| UPMC Carlisle | Carlisle | $70.80 | $12.06 – $115.00 |
| UPMC Cole | Coudersport | $166.80 | $22.48 – $222.40 |
| UPMC Community Osteopathic | Harrisburg | $70.80 | $17.60 – $395.15 |
| UPMC East | Monroeville | $121.20 | $23.55 – $161.60 |
| UPMC Hamot | Erie | $121.20 | $23.55 – $120.67 |
| UPMC Northwest | Seneca | $121.20 | $23.55 – $164.03 |
| UPMC Hanover | Hanover | $70.80 | $27.19 – $115.00 |