Crizanlizumab-tmca 10 mg/ml intravenous solution at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$147.00
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.
$245.00
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.
$40.42 with Prime Net vs $456.31 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 | $40.42 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $49.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $49.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $81.75 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $87.93 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $100.45 | ↓ -32% |
| Aetna | ACO | $101.19 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $116.86 | ↓ -21% |
| Aetna | Commercial | $117.60 | ↓ -20% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $129.48 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $129.48 | ↓ -12% |
| Highmark Wholecare (prev Gateway) | Medicaid | $132.07 | ↓ -10% |
| Aetna | Medicare | $135.05 | ↓ -8% |
| Geisinger | Medicare | $135.95 | ↓ -8% |
| Cigna | Medicare | $135.95 | ↓ -8% |
| United Healthcare | Medicare | $138.54 | ↓ -6% |
| UPMC Health Plan | Managed Medicaid | $142.43 | ↓ -3% |
| United Healthcare | Commercial | $150.92 | ↑ +3% |
| Capital Blue Cross | Commercial | $153.11 | ↑ +4% |
| Capital Blue Cross | CHIP | $153.11 | ↑ +4% |
| UPMC Health Plan | CHIP | $159.26 | ↑ +8% |
| Keystone Health Plan | Commercial | $159.78 | ↑ +9% |
| Geisinger | Commercial | $160.43 | ↑ +9% |
| Wellspan Population Health | Commercial | $171.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $171.50 | ↑ +17% |
| Cigna | Commercial | $179.21 | ↑ +22% |
| Prime Net | FH-Medical Rental | $182.53 | ↑ +24% |
| Keystone Autism Services | ACAP | $207.17 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $208.25 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $428.89 | ↑ +192% |
| Highmark BCBS of PA | Commercial | $456.31 | ↑ +210% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Crizanlizumab-tmca 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $379.20 | $81.75 – $242.97 |
| UPMC Magee | Pittsburgh | $436.20 | $81.75 – $139.84 |
| UPMC McKeesport | Mckeesport | $284.40 | $81.75 – $142.43 |
| UPMC Passavant-McCandless | Pittsburgh | $436.20 | $81.75 – $142.43 |
| UPMC Presbyterian | Pittsburgh | $8,721.00 | $81.75 – $142.43 |
| UPMC Wellsboro | Wellsboro | $272.40 | $129.48 – $142.43 |
| UPMC Western Psychiatric | Pittsburgh | $436.20 | $99.22 – $142.43 |