X-ray surgical specimen at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,129.80
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.
$1,883.00
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.
$13.91 with United Healthcare Community Plan for Families vs $2,530.96 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $13.91 | ↓ -99% |
| Highmark BCBS of PA | Medicare | $22.79 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.76 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $23.76 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $24.32 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.48 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $27.25 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $59.36 | ↓ -95% |
| Premier Comp Solutions | Worker's Comp | $59.36 | ↓ -95% |
| Capital Blue Cross | Commercial | $70.54 | ↓ -94% |
| Capital Blue Cross | CHIP | $70.54 | ↓ -94% |
| Keystone Health Plan | Commercial | $70.54 | ↓ -94% |
| UPMC Health Plan | CHIP | $95.54 | ↓ -92% |
| Prime Net | Managed Medicare | $310.69 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $376.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $376.60 | ↓ -67% |
| Aetna | Medicare | $548.37 | ↓ -51% |
| Geisinger | Medicare | $552.05 | ↓ -51% |
| Cigna | Medicare | $552.05 | ↓ -51% |
| United Healthcare | Medicare | $562.56 | ↓ -50% |
| Prime Net | ACO/Legacy Commercial | $772.03 | ↓ -32% |
| Aetna | ACO | $777.68 | ↓ -31% |
| Keystone Autism Services | ACAP | $841.22 | ↓ -26% |
| Prime Net | GateKeeper/NonGateKeeper | $898.19 | ↓ -21% |
| Aetna | Commercial | $903.84 | ↓ -20% |
| Geisinger | Commercial | $1,232.99 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,318.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,318.10 | ↑ +17% |
| United Healthcare | Commercial | $1,385.89 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,402.84 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,600.55 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $1,741.53 | ↑ +54% |
| Highmark BCBS of PA | Commercial | $1,852.88 | ↑ +64% |
| Cigna | Commercial | $2,530.96 | ↑ +124% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
X-ray surgical specimen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $190.20 | $10.62 – $253.60 |
| UPMC Bedford | Everett | $540.60 | $19.65 – $810.90 |
| UPMC Carlisle | Carlisle | $1,129.80 | $13.91 – $1,600.55 |
| UPMC Cole | Coudersport | $80.40 | $19.65 – $107.20 |
| UPMC Community Osteopathic | Harrisburg | $1,129.80 | $13.91 – $1,600.55 |
| UPMC East | Monroeville | $4,123.80 | $20.58 – $5,498.40 |
| UPMC Hamot | Erie | $562.20 | $20.58 – $714.96 |
| UPMC Northwest | Seneca | $536.40 | $20.58 – $548.88 |