Factor ix recombinant nos at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,040.00
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.
$3,400.00
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.
$1.70 with Highmark BCBS of PA vs $722.50 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 →
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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 | $1.70 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.85 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $1.85 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.89 | ↓ -100% |
| Aetna | Medicare | $1.93 | ↓ -100% |
| Geisinger | Medicare | $1.94 | ↓ -100% |
| Cigna | Medicare | $1.94 | ↓ -100% |
| United Healthcare | Medicare | $1.98 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $2.03 | ↓ -100% |
| Capital Blue Cross | Commercial | $2.19 | ↓ -100% |
| Capital Blue Cross | CHIP | $2.19 | ↓ -100% |
| UPMC Health Plan | CHIP | $2.27 | ↓ -100% |
| Keystone Health Plan | Commercial | $2.29 | ↓ -100% |
| Cigna | Commercial | $2.47 | ↓ -100% |
| Keystone Autism Services | ACAP | $2.96 | ↓ -100% |
| Highmark BCBS of PA | Medicaid | $6.13 | ↓ -100% |
| Highmark BCBS of PA | Commercial | $6.52 | ↓ -100% |
| United Healthcare | Commercial | $12.30 | ↓ -99% |
| Prime Net | Managed Medicare | $140.25 | ↓ -93% |
| Keystone Health Plan | Medicare Advantage | $170.00 | ↓ -92% |
| Capital Blue Cross | Medicare Advantage | $170.00 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $305.06 | ↓ -85% |
| Prime Net | ACO/Legacy Commercial | $348.50 | ↓ -83% |
| Aetna | ACO | $351.05 | ↓ -83% |
| Prime Net | GateKeeper/NonGateKeeper | $405.45 | ↓ -80% |
| Aetna | Commercial | $408.00 | ↓ -80% |
| Geisinger | Commercial | $556.58 | ↓ -73% |
| Wellspan Population Health | Commercial | $595.00 | ↓ -71% |
| UPMC Health Plan | Commercial | $595.00 | ↓ -71% |
| Prime Net | FH-Medical Rental | $633.25 | ↓ -69% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $722.50 | ↓ -65% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix recombinant nos at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $11.40 | $1.17 – $3.47 |
| UPMC Magee | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Mercy | Pittsburgh | $15.40 | $1.17 – $2.08 |
| UPMC Passavant-McCandless | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Presbyterian | Pittsburgh | $34.65 | $1.17 – $2.10 |
| UPMC Western Psychiatric | Pittsburgh | $34.65 | $1.85 – $2.06 |
| UPMC Northwest | Seneca | not published | $1.17 – $2.00 |
| UPMC St. Margaret | Pittsburgh | not published | $1.17 – $2.10 |