Drug assay posaconazole at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$57.00
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.
$95.00
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.
$12.36 with Highmark BCBS of PA vs $134.32 with Capital Blue Cross — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $12.36 | ↓ -78% |
| Prime Net | Managed Medicare | $15.68 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $19.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $19.00 | ↓ -67% |
| United Healthcare | Commercial | $20.39 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.69 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.55 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $28.04 | ↓ -51% |
| UPMC Health Plan | Managed Medicaid | $28.20 | ↓ -51% |
| Aetna | Medicare | $28.28 | ↓ -50% |
| United Healthcare Community Plan for Families | PA Medicaid | $28.41 | ↓ -50% |
| Cigna | Medicare | $28.47 | ↓ -50% |
| Geisinger | Medicare | $28.47 | ↓ -50% |
| United Healthcare | Medicare | $29.01 | ↓ -49% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.54 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $31.59 | ↓ -45% |
| Prime Net | ACO/Legacy Commercial | $38.95 | ↓ -32% |
| Aetna | ACO | $39.23 | ↓ -31% |
| Keystone Autism Services | ACAP | $43.38 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $45.31 | ↓ -21% |
| Aetna | Commercial | $45.60 | ↓ -20% |
| Geisinger | Commercial | $62.21 | ↑ +9% |
| UPMC Health Plan | Commercial | $66.50 | ↑ +17% |
| Wellspan Population Health | Commercial | $66.50 | ↑ +17% |
| Cigna | Commercial | $70.48 | ↑ +24% |
| Prime Net | FH-Medical Rental | $70.78 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $80.75 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $89.80 | ↑ +58% |
| Highmark BCBS of PA | Commercial | $95.54 | ↑ +68% |
| UPMC Health Plan | CHIP | $126.73 | ↑ +122% |
| Capital Blue Cross | Commercial | $134.32 | ↑ +136% |
| Keystone Health Plan | Commercial | $134.32 | ↑ +136% |
| Capital Blue Cross | CHIP | $134.32 | ↑ +136% |
Visitor-reported prices
Comments
Drug assay posaconazole at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $57.00 | $13.02 – $80.75 |
| UPMC Community Osteopathic | Harrisburg | $57.00 | $19.00 – $126.73 |
| UPMC Hanover | Hanover | $57.00 | $20.39 – $43.38 |
| UPMC Lititz | Lititz | $57.00 | $20.39 – $43.38 |
| UPMC Somerset | Somerset | $57.00 | $15.01 – $30.15 |
| WellSpan Chambersburg Hospital | Chambersburg | $95.20 | $21.69 – $120.59 |
| WellSpan Ephrata Community Hospital | Ephrata | $104.00 | $21.69 – $123.08 |
| Uniontown Hospital | Uniontown | $161.50 | $23.86 – $56.31 |