Carmustine 100 mg intravenous powder for solution at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,582.20
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.
$2,637.00
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.
$28.21 with Prime Net vs $840.38 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 | $28.21 | ↓ -98% |
| Keystone Health Plan | Medicare Advantage | $34.20 | ↓ -98% |
| Capital Blue Cross | Medicare Advantage | $34.20 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $61.37 | ↓ -96% |
| Prime Net | ACO/Legacy Commercial | $70.11 | ↓ -96% |
| Aetna | ACO | $70.62 | ↓ -96% |
| Prime Net | GateKeeper/NonGateKeeper | $81.57 | ↓ -95% |
| Aetna | Commercial | $82.08 | ↓ -95% |
| United Healthcare | Commercial | $105.34 | ↓ -93% |
| Geisinger | Commercial | $111.97 | ↓ -93% |
| Wellspan Population Health | Commercial | $119.70 | ↓ -92% |
| UPMC Health Plan | Commercial | $119.70 | ↓ -92% |
| Prime Net | FH-Medical Rental | $127.39 | ↓ -92% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $145.35 | ↓ -91% |
| Highmark BCBS of PA | Medicare | $229.37 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $238.46 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $238.46 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $243.23 | ↓ -85% |
| Aetna | Medicare | $248.71 | ↓ -84% |
| Cigna | Medicare | $250.38 | ↓ -84% |
| Geisinger | Medicare | $250.38 | ↓ -84% |
| United Healthcare | Medicare | $255.15 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $262.30 | ↓ -83% |
| Capital Blue Cross | Commercial | $281.98 | ↓ -82% |
| Capital Blue Cross | CHIP | $281.98 | ↓ -82% |
| UPMC Health Plan | CHIP | $293.30 | ↓ -81% |
| Keystone Health Plan | Commercial | $317.03 | ↓ -80% |
| Keystone Autism Services | ACAP | $381.54 | ↓ -76% |
| Cigna | Commercial | $382.77 | ↓ -76% |
| Highmark BCBS of PA | Medicaid | $789.87 | ↓ -50% |
| Highmark BCBS of PA | Commercial | $840.38 | ↓ -47% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Carmustine 100 mg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,512.00 | $150.56 – $2,016.00 |
| UPMC Carlisle | Carlisle | $1,582.20 | $23.43 – $381.54 |
| UPMC Cole | Coudersport | $382.20 | $176.58 – $509.60 |
| UPMC Community Osteopathic | Harrisburg | $1,582.20 | $34.20 – $293.30 |
| UPMC Hamot | Erie | $2,192.40 | $150.56 – $460.53 |
| UPMC Northwest | Seneca | $287.40 | $150.56 – $257.54 |
| UPMC Hanover | Hanover | $1,582.20 | $236.08 – $381.54 |
| UPMC Horizon-Greenville | Greenville | $1,380.00 | $150.56 – $447.47 |