Venous sampling s&i at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$9,796.20
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.
?
What you pay up front if you don't use insurance.
$16,327.00
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.
$462.80 with Highmark BCBS of PA vs $24,155.22 with Cigna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $462.80 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $1,191.53 | ↓ -88% |
| Premier Comp Solutions | Worker's Comp | $1,191.53 | ↓ -88% |
| Capital Blue Cross | CHIP | $1,284.59 | ↓ -87% |
| Keystone Health Plan | Commercial | $1,284.59 | ↓ -87% |
| Capital Blue Cross | Commercial | $1,284.59 | ↓ -87% |
| UPMC Health Plan | CHIP | $1,785.90 | ↓ -82% |
| Prime Net | Managed Medicare | $2,693.95 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $3,265.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $3,265.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $4,107.18 | ↓ -58% |
| Aetna | Medicare | $5,406.42 | ↓ -45% |
| Geisinger | Medicare | $5,442.71 | ↓ -44% |
| Cigna | Medicare | $5,442.71 | ↓ -44% |
| United Healthcare | Medicare | $5,546.38 | ↓ -43% |
| Prime Net | ACO/Legacy Commercial | $6,694.07 | ↓ -32% |
| Aetna | ACO | $6,743.05 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $7,787.98 | ↓ -20% |
| Aetna | Commercial | $7,836.96 | ↓ -20% |
| Keystone Autism Services | ACAP | $8,293.65 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $8,979.85 | ↓ -8% |
| Geisinger | Commercial | $10,690.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $11,428.90 | ↑ +17% |
| Wellspan Population Health | Commercial | $11,428.90 | ↑ +17% |
| United Healthcare | Commercial | $12,016.67 | ↑ +23% |
| Prime Net | FH-Medical Rental | $12,163.61 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13,877.95 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $17,169.92 | ↑ +75% |
| Highmark BCBS of PA | Commercial | $18,267.80 | ↑ +86% |
| Cigna | Commercial | $24,155.22 | ↑ +147% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Venous sampling s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $9,796.20 | $1,172.98 – $13,877.95 |
| UPMC Community Osteopathic | Harrisburg | $9,796.20 | $1,009.17 – $13,877.95 |
| UPMC Hanover | Hanover | $9,796.20 | $1,191.53 – $8,262.51 |
| UPMC Lititz | Lititz | $9,796.20 | $1,172.98 – $8,307.14 |
| UPMC Mercy | Pittsburgh | $3,174.00 | $492.72 – $5,669.06 |
| UPMC Passavant-McCandless | Pittsburgh | $3,362.40 | $495.62 – $5,669.06 |
| UPMC Presbyterian | Pittsburgh | $6,825.00 | $573.23 – $5,669.06 |
| UPMC Somerset | Somerset | $9,796.20 | $562.08 – $5,565.47 |