In-111 pentetreotide at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$18,255.00
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.
$30,425.00
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.
$1,996.94 with Aetna vs $25,861.25 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 |
|---|---|---|---|
| Aetna | Medicare | $1,996.94 | ↓ -89% |
| Geisinger | Medicare | $2,010.34 | ↓ -89% |
| Cigna | Medicare | $2,010.34 | ↓ -89% |
| United Healthcare | Medicare | $2,048.63 | ↓ -89% |
| Keystone Autism Services | ACAP | $3,063.38 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $4,317.75 | ↓ -76% |
| UPMC Health Plan | CHIP | $4,692.07 | ↓ -74% |
| Prime Net | Managed Medicare | $5,020.12 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $6,085.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $6,085.00 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $6,341.95 | ↓ -65% |
| Highmark BCBS of PA | Commercial | $6,747.47 | ↓ -63% |
| Prime Net | ACO/Legacy Commercial | $12,474.25 | ↓ -32% |
| Aetna | ACO | $12,565.52 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $14,512.73 | ↓ -20% |
| Aetna | Commercial | $14,604.00 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $16,733.75 | ↓ -8% |
| Capital Blue Cross | CHIP | $18,419.29 | ↑ +1% |
| Capital Blue Cross | Commercial | $18,419.29 | ↑ +1% |
| United Healthcare | Commercial | $18,741.80 | ↑ +3% |
| Keystone Health Plan | Commercial | $19,341.17 | ↑ +6% |
| Geisinger | Commercial | $19,922.29 | ↑ +9% |
| UPMC Health Plan | Commercial | $21,297.50 | ↑ +17% |
| Wellspan Population Health | Commercial | $21,297.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $22,666.62 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $25,861.25 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
In-111 pentetreotide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,255.00 | $1,053.04 – $25,861.25 |
| UPMC Community Osteopathic | Harrisburg | $18,255.00 | $1,895.46 – $25,861.25 |
| UPMC Hanover | Hanover | $18,255.00 | $1,895.46 – $4,692.07 |
| UPMC Jameson | New Castle | $265.20 | $1,914.61 – $5,391.06 |
| UPMC Lititz | Lititz | $18,255.00 | $1,895.46 – $4,692.07 |
| UPMC Magee | Pittsburgh | $12,179.40 | $1,791.88 – $5,348.02 |
| UPMC Muncy | Muncy | $3,477.00 | $869.25 – $5,215.50 |
| UPMC Passavant-McCandless | Pittsburgh | $11,244.60 | $1,779.25 – $5,348.02 |