Antithymocyte globuln rabbit at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$639.60
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.
$1,066.00
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.
$175.89 with Prime Net vs $3,521.98 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $175.89 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $213.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $213.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $381.40 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $382.59 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $437.06 | ↓ -32% |
| Aetna | ACO | $440.26 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $508.48 | ↓ -21% |
| Aetna | Commercial | $511.68 | ↓ -20% |
| United Healthcare | Commercial | $656.66 | ↑ +3% |
| Geisinger | Commercial | $698.02 | ↑ +9% |
| Wellspan Population Health | Commercial | $746.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $746.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $794.17 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $906.10 | ↑ +42% |
| Geisinger | Medicaid/CHIP | $999.37 | ↑ +56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $999.37 | ↑ +56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,019.35 | ↑ +59% |
| Aetna | Medicare | $1,042.34 | ↑ +63% |
| Geisinger | Medicare | $1,049.34 | ↑ +64% |
| Cigna | Medicare | $1,049.34 | ↑ +64% |
| United Healthcare | Medicare | $1,069.33 | ↑ +67% |
| UPMC Health Plan | Managed Medicaid | $1,099.30 | ↑ +72% |
| Keystone Health Plan | Commercial | $1,179.92 | ↑ +84% |
| Capital Blue Cross | Commercial | $1,181.80 | ↑ +85% |
| Capital Blue Cross | CHIP | $1,181.80 | ↑ +85% |
| UPMC Health Plan | CHIP | $1,229.22 | ↑ +92% |
| Cigna | Commercial | $1,309.93 | ↑ +105% |
| Keystone Autism Services | ACAP | $1,598.99 | ↑ +150% |
| Highmark BCBS of PA | Medicaid | $3,310.31 | ↑ +418% |
| Highmark BCBS of PA | Commercial | $3,521.98 | ↑ +451% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Antithymocyte globuln rabbit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $639.60 | $146.04 – $1,598.99 |
| UPMC Community Osteopathic | Harrisburg | $639.60 | $213.20 – $1,229.22 |
| UPMC Hamot | Erie | $1,780.80 | $467.95 – $1,079.32 |
| UPMC Hanover | Hanover | $639.60 | $989.38 – $1,598.99 |
| UPMC Lititz | Lititz | $639.60 | $989.38 – $1,598.99 |
| UPMC Magee | Pittsburgh | $4,183.80 | $472.41 – $1,079.32 |
| UPMC Passavant-McCandless | Pittsburgh | $4,183.80 | $472.41 – $1,099.31 |
| UPMC Presbyterian | Pittsburgh | $4,183.80 | $472.41 – $1,099.31 |