Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$165.60
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.
$276.00
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.
$39.62 with AmeriHealth Caritas vs $687.32 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.62 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $39.62 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $40.56 | ↓ -76% |
| United Healthcare Community Plan for Families | PA Medicaid | $40.87 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.49 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $45.45 | ↓ -73% |
| Prime Net | Managed Medicare | $45.54 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $55.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $55.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $77.98 | ↓ -53% |
| Prime Net | ACO/Legacy Commercial | $113.16 | ↓ -32% |
| Aetna | ACO | $113.99 | ↓ -31% |
| Highmark BCBS of PA | Medicare | $118.75 | ↓ -28% |
| Prime Net | GateKeeper/NonGateKeeper | $131.65 | ↓ -21% |
| Aetna | Commercial | $132.48 | ↓ -20% |
| United Healthcare | Commercial | $163.00 | ↓ -2% |
| Capital Blue Cross | Commercial | $167.09 | ↑ +1% |
| Capital Blue Cross | CHIP | $167.09 | ↑ +1% |
| Keystone Health Plan | Commercial | $175.45 | ↑ +6% |
| Geisinger | Commercial | $180.72 | ↑ +9% |
| Wellspan Population Health | Commercial | $193.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $193.20 | ↑ +17% |
| Aetna | Medicare | $203.42 | ↑ +23% |
| Geisinger | Medicare | $204.78 | ↑ +24% |
| Cigna | Medicare | $204.78 | ↑ +24% |
| Prime Net | FH-Medical Rental | $205.62 | ↑ +24% |
| United Healthcare | Medicare | $208.68 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $234.60 | ↑ +42% |
| Keystone Autism Services | ACAP | $312.05 | ↑ +88% |
| Cigna | Commercial | $387.00 | ↑ +134% |
| UPMC Health Plan | CHIP | $459.03 | ↑ +177% |
| Highmark BCBS of PA | Medicaid | $646.02 | ↑ +290% |
| Highmark BCBS of PA | Commercial | $687.32 | ↑ +315% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $414.60 | $31.20 – $526.40 |
| UPMC Cole | Coudersport | $276.00 | $32.76 – $368.00 |
| UPMC East | Monroeville | $896.40 | $34.32 – $1,195.20 |
| UPMC Hamot | Erie | $1,113.00 | $34.32 – $273.12 |
| UPMC Northwest | Seneca | $377.40 | $34.32 – $203.61 |
| UPMC Hanover | Hanover | $165.60 | $39.62 – $310.88 |
| UPMC Horizon-Greenville | Greenville | $462.60 | $34.32 – $353.36 |
| UPMC Jameson | New Castle | $289.20 | $34.32 – $242.39 |