Carbamazepine total therapeutic drug level at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$103.80
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.
$173.00
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.
$15.07 with UPMC Work Partners vs $147.05 with Multiplan — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $15.07 | ↓ -85% |
| Aetna | Medicare | $15.20 | ↓ -85% |
| Cigna | Medicare | $15.30 | ↓ -85% |
| Geisinger | Medicare | $15.30 | ↓ -85% |
| United Healthcare | Medicare | $15.59 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.50 | ↓ -82% |
| Highmark BCBS of PA | Medicare | $22.94 | ↓ -78% |
| Keystone Autism Services | ACAP | $23.31 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $23.50 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $24.05 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $24.23 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.20 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $26.95 | ↓ -74% |
| Prime Net | Managed Medicare | $28.55 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $34.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $34.60 | ↓ -67% |
| Cigna | Commercial | $37.88 | ↓ -64% |
| United Healthcare | Commercial | $46.28 | ↓ -55% |
| Highmark BCBS of PA | Medicaid | $48.26 | ↓ -54% |
| Highmark BCBS of PA | Commercial | $51.35 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $70.93 | ↓ -32% |
| Aetna | ACO | $71.45 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $82.52 | ↓ -21% |
| Aetna | Commercial | $83.04 | ↓ -20% |
| UPMC Health Plan | CHIP | $90.10 | ↓ -13% |
| Keystone Health Plan | Commercial | $105.33 | ↑ +1% |
| Capital Blue Cross | CHIP | $105.33 | ↑ +1% |
| Capital Blue Cross | Commercial | $105.33 | ↑ +1% |
| Geisinger | Commercial | $113.28 | ↑ +9% |
| Wellspan Population Health | Commercial | $121.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $121.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $128.88 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $147.05 | ↑ +42% |
Visitor-reported prices
Comments
Carbamazepine total therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $208.80 | $14.40 – $278.40 |
| UPMC Bedford | Everett | $83.40 | $5.26 – $125.10 |
| UPMC Carlisle | Carlisle | $103.80 | $14.42 – $147.05 |
| UPMC Cole | Coudersport | $100.80 | $9.47 – $134.40 |
| UPMC Community Osteopathic | Harrisburg | $103.80 | $14.42 – $147.05 |
| UPMC East | Monroeville | $216.00 | $14.40 – $288.00 |
| UPMC Hamot | Erie | $306.00 | $14.40 – $28.14 |
| UPMC Northwest | Seneca | $89.40 | $13.21 – $21.27 |