Hepatitis b surface antibody at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$59.40
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.
$99.00
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.
$11.12 with UPMC Work Partners vs $86.35 with UPMC Health Plan — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $11.12 | ↓ -81% |
| Aetna | Medicare | $11.20 | ↓ -81% |
| Cigna | Medicare | $11.28 | ↓ -81% |
| Geisinger | Medicare | $11.28 | ↓ -81% |
| United Healthcare | Medicare | $11.49 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.18 | ↓ -78% |
| Prime Net | Managed Medicare | $16.34 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.74 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $17.13 | ↓ -71% |
| Keystone Autism Services | ACAP | $17.18 | ↓ -71% |
| United Healthcare Community Plan for Families | PA Medicaid | $17.27 | ↓ -71% |
| United Healthcare | Commercial | $17.45 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $17.95 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $19.20 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $19.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $19.80 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $22.48 | ↓ -62% |
| Cigna | Commercial | $27.92 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $35.58 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $37.85 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $40.59 | ↓ -32% |
| Aetna | ACO | $40.89 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $47.22 | ↓ -21% |
| Aetna | Commercial | $47.52 | ↓ -20% |
| Geisinger | Commercial | $64.83 | ↑ +9% |
| UPMC Health Plan | Commercial | $69.30 | ↑ +17% |
| Wellspan Population Health | Commercial | $69.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $73.75 | ↑ +24% |
| Capital Blue Cross | Commercial | $77.69 | ↑ +31% |
| Capital Blue Cross | CHIP | $77.69 | ↑ +31% |
| Keystone Health Plan | Commercial | $77.69 | ↑ +31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $84.15 | ↑ +42% |
| UPMC Health Plan | CHIP | $86.35 | ↑ +45% |
Visitor-reported prices
Comments
Hepatitis b surface antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.20 | $10.62 – $133.60 |
| UPMC Bedford | Everett | $83.40 | $3.87 – $125.10 |
| UPMC Carlisle | Carlisle | $59.40 | $10.63 – $84.15 |
| UPMC Cole | Coudersport | $102.60 | $6.98 – $136.80 |
| UPMC Community Osteopathic | Harrisburg | $59.40 | $10.63 – $86.35 |
| UPMC East | Monroeville | $213.60 | $10.62 – $284.80 |
| UPMC Hamot | Erie | $193.20 | $10.62 – $27.58 |
| UPMC Northwest | Seneca | $67.20 | $9.74 – $15.16 |