UPMC · York, PA
34
In-network payers
265
Disclosed rate categories
100
Beds
3
Care quality
Upmc Memorial is a 100-bed voluntary non-profit - private hospital in York, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 265 disclosed rate categories.
CCN (Medicare provider number)
390101
NPI
1063945707
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
100
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Memorial most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,862 - $16,477
from 3 insurers · median $13,271
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 66984
$8,337 - $9,812
from 2 insurers · median $9,075
728 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$15,653 - $21,196
from 3 insurers · median $18,323
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$30,033 - $44,345
from 3 insurers · median $40,890
39 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$294 - $3,662
from 4 insurers · median $1,724
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$5,090 - $6,413
from 2 insurers · median $5,752
21 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,895 - $2,259
from 3 insurers · median $1,907
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,337 - $16,693
from 2 insurers · median $12,515
63 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,180 - $5,035
from 2 insurers · median $3,607
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$30 - $977
from 4 insurers · median $746
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$6,971 - $8,803
from 2 insurers · median $7,887
58 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$9,523 - $17,186
from 3 insurers · median $16,693
26 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,338 - $5,035
from 2 insurers · median $3,686
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$106 - $567
from 4 insurers · median $380
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,180 - $3,830
from 3 insurers · median $2,588
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$952 - $2,044
from 3 insurers · median $1,747
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,000 - $7,542
from 4 insurers · median $6,263
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$330 - $3,502
from 4 insurers · median $2,516
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$158 - $1,747
from 4 insurers · median $1,286
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,971 - $9,523
from 2 insurers · median $8,247
63 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$369 - $6,649
from 4 insurers · median $3,465
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,862 - $16,477
from 3 insurers · median $13,271
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$34,946 - $81,839
from 3 insurers · median $75,286
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 74183
$352 - $3,329
from 4 insurers · median $2,439
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 915% | 6 | 4 |
| Insurer B* | 24 | 416% | 6 | 4 |
| Insurer C* | 24 | 339% | 7 | 10 |
| Insurer D* | 9 | 88% | 1 | 8 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Memorial.
1701 Innovation Drive, York, PA 17408
(717) 843-8623
The nearest hospitals of similar type and size. Their rates are compared with Upmc Memorial for the same insurers and services above.
Wellspan Gettysburg Hospital
▲ Rates typically 46% higher than Upmc Memorial (20 services)
Wellspan Good Samaritan Hospital
▲ Rates typically 12% higher than Upmc Memorial (20 services)
Carroll Hospital
▲ Rates typically 212% higher than Upmc Memorial (7 services)
Wellspan Ephrata Community Hospital
▲ Rates typically 63% higher than Upmc Memorial (21 services)
Upper Chesapeake Medical Center
▲ Rates typically 111% higher than Upmc Memorial (9 services)
Northwest Hospital Center
▲ Rates typically 197% higher than Upmc Memorial (8 services)
Wellspan York Hospital
Wellspan Surgery & Rehabilitation Hospital
Oss Orthopaedic Hospital
Upmc Williamsport
About Upmc Memorial's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Memorial range from $330 to $3,502 across 4 insurers. Aetna's rate is $330. The median at nearby comparable hospitals is $1,717. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Memorial range from $294 to $3,662 across 4 insurers. Cigna's rate is $1,996. The median at nearby comparable hospitals is $1,328. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Memorial range from $2,180 to $5,035 across 2 insurers. Blue Cross Blue Shield's rate is $2,180. The median at nearby comparable hospitals is $4,029. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Memorial range from $5,862 to $16,477 across 3 insurers. UnitedHealthcare's rate is $13,271. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Memorial range from $106 to $567 across 4 insurers. Aetna's rate is $106. The median at nearby comparable hospitals is $314. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Memorial range from $30,033 to $44,345 across 3 insurers. Blue Cross Blue Shield's rate is $30,033. The median at nearby comparable hospitals is $35,401. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Memorial has 100 beds. Facility type: Short Term Acute Care Hospital.
Upmc Memorial is located at 1701 Innovation Drive, York, PA 17408. Its main phone number is (717) 843-8623.
Upmc Memorial's CMS Certification Number (CCN), also called its Medicare provider number, is 390101.
The National Provider Identifier (NPI) on file for Upmc Memorial is 1063945707.
Upmc Memorial is affiliated with UPMC.
Upmc Memorial lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
265 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers