Mayo everolimus therapeutic drug level at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$34.80
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.
$58.00
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.
$11.60 with Capital Blue Cross vs $139.33 with UPMC Health Plan — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $11.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $11.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $13.59 | ↓ -61% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $13.80 | ↓ -60% |
| Prime Net | Managed Medicare | $14.04 | ↓ -60% |
| Humana | Medicare | $14.14 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $14.19 | ↓ -59% |
| Aetna | Medicare | $14.32 | ↓ -59% |
| Cigna | Medicare | $14.42 | ↓ -59% |
| United Healthcare | Medicare | $14.69 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.83 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.98 | ↓ -57% |
| United Healthcare Community Plan for Families | PA Medicaid | $19.62 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.40 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $21.82 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $25.53 | ↓ -27% |
| Aetna | ACO | $34.16 | ↓ -2% |
| Aetna | PEBTF ACO | $36.25 | ↑ +4% |
| InterGroup | PPO | $37.70 | ↑ +8% |
| Aetna | Commercial | $42.69 | ↑ +23% |
| Prime Net | FH-Medical Rental | $43.62 | ↑ +25% |
| Wellspan Population Health | Commercial | $49.30 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $55.21 | ↑ +59% |
| Highmark BCBS of PA | Commercial | $55.21 | ↑ +59% |
| Capital Blue Cross | CHIP | $74.99 | ↑ +115% |
| Capital Blue Cross | Commercial | $74.99 | ↑ +115% |
| Keystone Health Plan | Commercial | $74.99 | ↑ +115% |
| UPMC Health Plan | CHIP | $139.33 | ↑ +300% |
Visitor-reported prices
Comments
Mayo everolimus therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $120.00 | $13.56 – $160.00 |
| UPMC Bedford | Everett | $88.20 | $4.95 – $132.30 |
| UPMC Carlisle | Carlisle | $34.80 | $7.95 – $49.30 |
| UPMC East | Monroeville | $203.40 | $13.56 – $271.20 |
| UPMC Hamot | Erie | $155.40 | $13.56 – $20.82 |
| UPMC Northwest | Seneca | $141.60 | $12.45 – $17.23 |
| UPMC Hanover | Hanover | $34.80 | $13.59 – $21.97 |
| UPMC Horizon-Greenville | Greenville | $134.40 | $12.29 – $22.33 |