Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$197.40
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.
$329.00
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.
$54.28 with Prime Net vs $793.00 with United Healthcare — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $54.28 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $65.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $65.80 | ↓ -67% |
| Aetna | Medicare | $71.17 | ↓ -64% |
| Geisinger | Medicare | $71.65 | ↓ -64% |
| Cigna | Medicare | $71.65 | ↓ -64% |
| United Healthcare | Medicare | $73.02 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $78.33 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $78.33 | ↓ -60% |
| UPMC Health Plan | Managed Medicaid | $80.18 | ↓ -59% |
| United Healthcare Community Plan for Families | PA Medicaid | $80.80 | ↓ -59% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $84.01 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $89.84 | ↓ -54% |
| Keystone Autism Services | ACAP | $109.18 | ↓ -45% |
| Highmark BCBS of PA | Medicare | $116.28 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $134.82 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $134.89 | ↓ -32% |
| Aetna | ACO | $135.88 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $156.93 | ↓ -21% |
| Aetna | Commercial | $157.92 | ↓ -20% |
| Capital Blue Cross | Commercial | $199.18 | ↑ +1% |
| Capital Blue Cross | CHIP | $199.18 | ↑ +1% |
| Keystone Health Plan | Commercial | $209.15 | ↑ +6% |
| Geisinger | Commercial | $215.43 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $226.04 | ↑ +15% |
| Wellspan Population Health | Commercial | $230.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $230.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $240.49 | ↑ +22% |
| Prime Net | FH-Medical Rental | $245.10 | ↑ +24% |
| Cigna | Commercial | $256.62 | ↑ +30% |
| UPMC Health Plan | CHIP | $261.74 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $279.65 | ↑ +42% |
| United Healthcare | Commercial | $793.00 | ↑ +302% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $402.00 | $61.68 – $536.00 |
| UPMC Carlisle | Carlisle | $197.40 | $45.07 – $279.65 |
| UPMC Cole | Coudersport | $271.80 | $64.76 – $362.40 |
| UPMC Community Osteopathic | Harrisburg | $197.40 | $65.80 – $279.65 |
| UPMC East | Monroeville | $799.20 | $67.85 – $1,065.60 |
| UPMC Hamot | Erie | $592.80 | $67.85 – $128.83 |
| UPMC Northwest | Seneca | $449.40 | $61.53 – $128.83 |
| UPMC Hanover | Hanover | $197.40 | $67.31 – $134.82 |