Warde sugars single qualitative each specimen stool at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$28.80
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.
?
What you pay up front if you don't use insurance.
$48.00
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.
$5.70 with UPMC Work Partners vs $49.84 with UPMC Health Plan — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $5.70 | ↓ -80% |
| Aetna | Medicare | $5.74 | ↓ -80% |
| Geisinger | Medicare | $5.78 | ↓ -80% |
| Cigna | Medicare | $5.78 | ↓ -80% |
| United Healthcare | Medicare | $5.88 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.09 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.73 | ↓ -73% |
| Prime Net | Managed Medicare | $7.92 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $7.92 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $7.98 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.29 | ↓ -71% |
| Keystone Autism Services | ACAP | $8.80 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $8.87 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $9.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $9.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $11.91 | ↓ -59% |
| Cigna | Commercial | $14.32 | ↓ -50% |
| Highmark BCBS of PA | Medicaid | $18.22 | ↓ -37% |
| Highmark BCBS of PA | Commercial | $19.38 | ↓ -33% |
| Prime Net | ACO/Legacy Commercial | $19.68 | ↓ -32% |
| Aetna | ACO | $19.82 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $22.90 | ↓ -20% |
| Aetna | Commercial | $23.04 | ↓ -20% |
| Geisinger | Commercial | $31.43 | ↑ +9% |
| UPMC Health Plan | Commercial | $33.60 | ↑ +17% |
| Wellspan Population Health | Commercial | $33.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $35.76 | ↑ +24% |
| Capital Blue Cross | Commercial | $39.83 | ↑ +38% |
| Capital Blue Cross | CHIP | $39.83 | ↑ +38% |
| Keystone Health Plan | Commercial | $39.83 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $40.80 | ↑ +42% |
| United Healthcare | Commercial | $46.80 | ↑ +63% |
| UPMC Health Plan | CHIP | $49.84 | ↑ +73% |
Visitor-reported prices
Comments
Warde sugars single qualitative each specimen stool at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $28.80 | $5.45 – $40.80 |
| UPMC Cole | Coudersport | $30.60 | $3.58 – $40.80 |
| UPMC Community Osteopathic | Harrisburg | $28.80 | $5.45 – $49.84 |
| UPMC Hanover | Hanover | $28.80 | $5.45 – $8.80 |
| UPMC Kane | Kane | $129.60 | $5.44 – $23.74 |
| UPMC Lititz | Lititz | $28.80 | $5.45 – $8.80 |
| UPMC Somerset | Somerset | $28.80 | $5.44 – $8.46 |
| WellSpan Chambersburg Hospital | Chambersburg | $23.20 | $5.50 – $24.47 |