Hepagam b im injection at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$586.80
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.
$978.00
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.
$21.12 with Prime Net vs $234.85 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 | $21.12 | ↓ -96% |
| Capital Blue Cross | Medicare Advantage | $25.60 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $25.60 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $45.94 | ↓ -92% |
| Prime Net | ACO/Legacy Commercial | $52.48 | ↓ -91% |
| Aetna | ACO | $52.86 | ↓ -91% |
| Prime Net | GateKeeper/NonGateKeeper | $61.06 | ↓ -90% |
| Aetna | Commercial | $61.44 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $66.64 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $66.64 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $67.97 | ↓ -88% |
| Aetna | Medicare | $69.51 | ↓ -88% |
| Geisinger | Medicare | $69.97 | ↓ -88% |
| Cigna | Medicare | $69.97 | ↓ -88% |
| United Healthcare | Medicare | $71.30 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $73.31 | ↓ -88% |
| Capital Blue Cross | CHIP | $78.81 | ↓ -87% |
| Capital Blue Cross | Commercial | $78.81 | ↓ -87% |
| United Healthcare | Commercial | $78.85 | ↓ -87% |
| Keystone Health Plan | Commercial | $81.87 | ↓ -86% |
| UPMC Health Plan | CHIP | $81.97 | ↓ -86% |
| Geisinger | Commercial | $83.81 | ↓ -86% |
| Cigna | Commercial | $84.06 | ↓ -86% |
| Wellspan Population Health | Commercial | $89.60 | ↓ -85% |
| UPMC Health Plan | Commercial | $89.60 | ↓ -85% |
| Prime Net | FH-Medical Rental | $95.36 | ↓ -84% |
| Keystone Autism Services | ACAP | $106.62 | ↓ -82% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $108.80 | ↓ -81% |
| Highmark BCBS of PA | Medicare | $123.35 | ↓ -79% |
| Highmark BCBS of PA | Medicaid | $220.74 | ↓ -62% |
| Highmark BCBS of PA | Commercial | $234.85 | ↓ -60% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Hepagam b im injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $586.80 | $17.54 – $108.80 |
| UPMC Cole | Coudersport | $991.20 | $51.28 – $148.00 |
| UPMC Community Osteopathic | Harrisburg | $586.80 | $25.60 – $108.80 |
| UPMC Hanover | Hanover | $586.80 | $65.97 – $106.62 |
| UPMC Lititz | Lititz | $586.80 | $65.97 – $106.62 |
| UPMC Somerset | Somerset | $586.80 | $65.97 – $66.64 |
| UPMC Northwest | Seneca | not published | $42.08 – $71.97 |
| UPMC Mercy | Pittsburgh | not published | $42.08 – $151.34 |