Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$608.40
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.
$1,014.00
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.
$158.50 with AmeriHealth Caritas vs $1,120.91 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $158.50 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $158.50 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $162.24 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $163.49 | ↓ -73% |
| Prime Net | Managed Medicare | $167.31 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $169.98 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $181.78 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $202.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $202.80 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $237.29 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $275.08 | ↓ -55% |
| Aetna | Medicare | $331.74 | ↓ -45% |
| Cigna | Medicare | $333.96 | ↓ -45% |
| Geisinger | Medicare | $333.96 | ↓ -45% |
| United Healthcare | Medicare | $340.32 | ↓ -44% |
| UPMC Health Plan | CHIP | $392.11 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $415.74 | ↓ -32% |
| Aetna | ACO | $418.78 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $483.68 | ↓ -20% |
| Aetna | Commercial | $486.72 | ↓ -20% |
| Keystone Autism Services | ACAP | $508.90 | ↓ -16% |
| Capital Blue Cross | CHIP | $613.88 | ↑ +1% |
| Capital Blue Cross | Commercial | $613.88 | ↑ +1% |
| Keystone Health Plan | Commercial | $644.60 | ↑ +6% |
| Geisinger | Commercial | $663.97 | ↑ +9% |
| UPMC Health Plan | Commercial | $709.80 | ↑ +17% |
| Wellspan Population Health | Commercial | $709.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $755.43 | ↑ +24% |
| Cigna | Commercial | $790.92 | ↑ +30% |
| United Healthcare | Commercial | $793.00 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $861.90 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $1,053.54 | ↑ +73% |
| Highmark BCBS of PA | Commercial | $1,120.91 | ↑ +84% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $402.00 | $124.80 – $536.00 |
| UPMC Bedford | Everett | $646.80 | $114.10 – $970.20 |
| UPMC Carlisle | Carlisle | $608.40 | $138.92 – $861.90 |
| UPMC Cole | Coudersport | $848.40 | $131.04 – $1,131.20 |
| UPMC Community Osteopathic | Harrisburg | $608.40 | $158.50 – $861.90 |
| UPMC East | Monroeville | $1,632.60 | $137.28 – $2,176.80 |
| UPMC Hamot | Erie | $1,187.40 | $137.28 – $394.17 |
| UPMC Northwest | Seneca | $912.00 | $137.28 – $332.04 |