Conjugated estrogens 25 mg solution for injection at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$220.80
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.
?
What you pay up front if you don't use insurance.
$368.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$48.65 with Highmark BCBS of PA vs $1,381.70 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $48.65 | ↓ -78% |
| Prime Net | Managed Medicare | $60.72 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $73.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $73.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $132.08 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $150.88 | ↓ -32% |
| Aetna | ACO | $151.98 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $175.54 | ↓ -20% |
| Aetna | Commercial | $176.64 | ↓ -20% |
| United Healthcare | Commercial | $226.69 | ↑ +3% |
| Geisinger | Commercial | $240.97 | ↑ +9% |
| Wellspan Population Health | Commercial | $257.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $257.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $274.16 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $312.80 | ↑ +42% |
| Geisinger | Medicaid/CHIP | $392.06 | ↑ +78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $392.06 | ↑ +78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $399.90 | ↑ +81% |
| Aetna | Medicare | $408.92 | ↑ +85% |
| Geisinger | Medicare | $411.66 | ↑ +86% |
| Cigna | Medicare | $411.66 | ↑ +86% |
| United Healthcare | Medicare | $419.50 | ↑ +90% |
| UPMC Health Plan | Managed Medicaid | $431.27 | ↑ +95% |
| Capital Blue Cross | Commercial | $463.63 | ↑ +110% |
| Capital Blue Cross | CHIP | $463.63 | ↑ +110% |
| Keystone Health Plan | Commercial | $475.45 | ↑ +115% |
| UPMC Health Plan | CHIP | $482.24 | ↑ +118% |
| Cigna | Commercial | $524.73 | ↑ +138% |
| Keystone Autism Services | ACAP | $627.30 | ↑ +184% |
| Highmark BCBS of PA | Medicaid | $1,298.66 | ↑ +488% |
| Highmark BCBS of PA | Commercial | $1,381.70 | ↑ +526% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Conjugated estrogens 25 mg solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $789.60 | $59.69 – $789.60 |
| UPMC Carlisle | Carlisle | $220.80 | $50.42 – $627.30 |
| UPMC Cole | Coudersport | $2,362.80 | $392.06 – $3,150.40 |
| UPMC Community Osteopathic | Harrisburg | $220.80 | $73.60 – $482.24 |
| UPMC East | Monroeville | $860.00 | $60.25 – $860.00 |
| UPMC Hamot | Erie | $546.40 | $59.69 – $423.42 |
| UPMC Hanover | Hanover | $220.80 | $388.14 – $627.30 |
| UPMC Horizon-Greenville | Greenville | $860.00 | $152.11 – $423.42 |