Ultrasound hips infant dynamic at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$280.20
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.
$467.00
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.
$77.06 with Prime Net vs $419.44 with Cigna — 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 | $77.06 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $83.31 | ↓ -70% |
| Aetna | Medicare | $88.06 | ↓ -69% |
| Cigna | Medicare | $88.65 | ↓ -68% |
| Geisinger | Medicare | $88.65 | ↓ -68% |
| United Healthcare | Medicare | $90.34 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $93.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $93.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $110.49 | ↓ -61% |
| Keystone Autism Services | ACAP | $135.09 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $143.41 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $143.41 | ↓ -49% |
| UPMC Health Plan | Managed Medicaid | $146.80 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $153.80 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $164.48 | ↓ -41% |
| Prime Net | ACO/Legacy Commercial | $191.47 | ↓ -32% |
| Aetna | ACO | $192.87 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $216.69 | ↓ -23% |
| Premier Comp Solutions | Worker's Comp | $216.69 | ↓ -23% |
| Prime Net | GateKeeper/NonGateKeeper | $222.76 | ↓ -20% |
| Aetna | Commercial | $224.16 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $279.67 | ↓ -0% |
| Highmark BCBS of PA | Commercial | $297.55 | ↑ +6% |
| Geisinger | Commercial | $305.79 | ↑ +9% |
| Wellspan Population Health | Commercial | $326.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $326.90 | ↑ +17% |
| UPMC Health Plan | CHIP | $331.35 | ↑ +18% |
| United Healthcare | Commercial | $343.71 | ↑ +23% |
| Prime Net | FH-Medical Rental | $347.92 | ↑ +24% |
| Capital Blue Cross | CHIP | $379.51 | ↑ +35% |
| Capital Blue Cross | Commercial | $379.51 | ↑ +35% |
| Keystone Health Plan | Commercial | $379.51 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $396.95 | ↑ +42% |
| Cigna | Commercial | $419.44 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound hips infant dynamic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $652.20 | $84.34 – $869.60 |
| UPMC Carlisle | Carlisle | $280.20 | $63.98 – $396.95 |
| UPMC Cole | Coudersport | $311.40 | $108.01 – $415.20 |
| UPMC Community Osteopathic | Harrisburg | $280.20 | $85.74 – $396.95 |
| UPMC Hamot | Erie | $561.00 | $96.88 – $207.06 |
| UPMC Northwest | Seneca | $516.60 | $76.13 – $207.06 |
| UPMC Hanover | Hanover | $280.20 | $83.27 – $216.69 |
| UPMC Lititz | Lititz | $280.20 | $83.72 – $216.69 |