Doxycycline hyclate 100 mg intravenous powder for solution at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$15.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$26.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.11 with AmeriHealth Caritas vs $10.20 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 →

Payer
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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
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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
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $0.11 ↓ -99%
Highmark Wholecare (prev Gateway) Medicaid $0.11 ↓ -99%
Aetna Medicare $0.11 ↓ -99%
Geisinger Medicaid/CHIP $0.11 ↓ -99%
UPMC Health Plan Managed Medicaid $0.12 ↓ -99%
Capital Blue Cross CHIP $0.13 ↓ -99%
Capital Blue Cross Commercial $0.13 ↓ -99%
UPMC Health Plan CHIP $0.14 ↓ -99%
Prime Net Managed Medicare $1.98 ↓ -87%
Capital Blue Cross Medicare Advantage $2.40 ↓ -85%
Keystone Health Plan Medicare Advantage $2.40 ↓ -85%
UPMC Work Partners Workers Comp $4.31 ↓ -72%
Prime Net ACO/Legacy Commercial $4.92 ↓ -68%
Aetna ACO $4.96 ↓ -68%
Prime Net GateKeeper/NonGateKeeper $5.72 ↓ -63%
Aetna Commercial $5.76 ↓ -63%
Highmark BCBS of PA Medicare $5.94 ↓ -62%
United Healthcare Commercial $7.39 ↓ -53%
Keystone Health Plan Commercial $7.63 ↓ -51%
Geisinger Commercial $7.86 ↓ -50%
UPMC Health Plan Commercial $8.40 ↓ -46%
Wellspan Population Health Commercial $8.40 ↓ -46%
Prime Net FH-Medical Rental $8.94 ↓ -43%
Cigna Commercial $9.36 ↓ -40%
Multiplan PPO (Includes PHCS and Humana as Payers) $10.20 ↓ -35%

Visitor-reported prices

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Doxycycline hyclate 100 mg intravenous powder for solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $15.60 $0.11 – $10.20
UPMC Community Osteopathic Harrisburg $15.60 $0.11 – $10.20
UPMC Hanover Hanover $15.60 $0.11 – $0.12
UPMC Lititz Lititz $15.60 $0.11 – $0.12
UPMC Somerset Somerset $15.60 $0.11 – $0.11
WellSpan Chambersburg Hospital Chambersburg $40.00 $0.12 – $42.00
WellSpan Ephrata Community Hospital Ephrata $142.60 $11.10 – $42.00
WellSpan Surgery & Rehabilitation Hospital York PA 17403 $131.60 $11.10 – $42.00

All Pennsylvania hospitals for this procedure →