Gamma globulin 1 cc inj at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$31.20
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.
$52.00
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.
$3.15 with Highmark BCBS of PA vs $172.79 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $3.15 | ↓ -90% |
| Prime Net | Managed Medicare | $7.42 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $9.00 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $9.00 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $16.15 | ↓ -48% |
| Prime Net | ACO/Legacy Commercial | $18.45 | ↓ -41% |
| Aetna | ACO | $18.59 | ↓ -40% |
| Prime Net | GateKeeper/NonGateKeeper | $21.46 | ↓ -31% |
| Aetna | Commercial | $21.60 | ↓ -31% |
| United Healthcare | Commercial | $27.72 | ↓ -11% |
| Geisinger | Commercial | $29.47 | ↓ -6% |
| Wellspan Population Health | Commercial | $31.50 | ↑ +1% |
| UPMC Health Plan | Commercial | $31.50 | ↑ +1% |
| Prime Net | FH-Medical Rental | $33.52 | ↑ +7% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $38.25 | ↑ +23% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.03 | ↑ +57% |
| Geisinger | Medicaid/CHIP | $49.03 | ↑ +57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $50.01 | ↑ +60% |
| Aetna | Medicare | $51.14 | ↑ +64% |
| Cigna | Medicare | $51.48 | ↑ +65% |
| Geisinger | Medicare | $51.48 | ↑ +65% |
| United Healthcare | Medicare | $52.46 | ↑ +68% |
| UPMC Health Plan | Managed Medicaid | $53.94 | ↑ +73% |
| Capital Blue Cross | CHIP | $57.99 | ↑ +86% |
| Capital Blue Cross | Commercial | $57.99 | ↑ +86% |
| UPMC Health Plan | CHIP | $60.31 | ↑ +93% |
| Keystone Health Plan | Commercial | $61.36 | ↑ +97% |
| Cigna | Commercial | $71.53 | ↑ +129% |
| Keystone Autism Services | ACAP | $78.45 | ↑ +151% |
| Highmark BCBS of PA | Medicaid | $162.41 | ↑ +421% |
| Highmark BCBS of PA | Commercial | $172.79 | ↑ +454% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Gamma globulin 1 cc inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $31.20 | $6.17 – $78.45 |
| UPMC Community Osteopathic | Harrisburg | $31.20 | $6.44 – $60.31 |
| UPMC Hamot | Erie | $21.60 | $3.87 – $52.95 |
| UPMC Hanover | Hanover | $31.20 | $48.54 – $78.45 |
| UPMC Lititz | Lititz | $31.20 | $48.54 – $78.45 |
| UPMC Muncy | Muncy | $381.00 | $49.03 – $53.94 |
| UPMC Presbyterian | Pittsburgh | $106.20 | $3.90 – $53.93 |
| UPMC Somerset | Somerset | $31.20 | $3.83 – $49.03 |