Inj anifrolumab-fnia 1mg at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,522.80
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.
$2,538.00
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.
$5.68 with Highmark BCBS of PA vs $2,157.30 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $5.68 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $18.08 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.08 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.44 | ↓ -99% |
| Aetna | Medicare | $18.86 | ↓ -99% |
| Geisinger | Medicare | $18.98 | ↓ -99% |
| Cigna | Medicare | $18.98 | ↓ -99% |
| United Healthcare | Medicare | $19.35 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $19.89 | ↓ -99% |
| Capital Blue Cross | CHIP | $21.37 | ↓ -99% |
| Capital Blue Cross | Commercial | $21.37 | ↓ -99% |
| Keystone Health Plan | Commercial | $22.05 | ↓ -99% |
| UPMC Health Plan | CHIP | $22.24 | ↓ -99% |
| Cigna | Commercial | $24.22 | ↓ -98% |
| Keystone Autism Services | ACAP | $28.93 | ↓ -98% |
| Highmark BCBS of PA | Medicaid | $59.89 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $63.72 | ↓ -96% |
| United Healthcare | Commercial | $120.65 | ↓ -92% |
| Prime Net | Managed Medicare | $418.77 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $507.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $507.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $910.89 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $1,040.58 | ↓ -32% |
| Aetna | ACO | $1,048.19 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,210.63 | ↓ -20% |
| Aetna | Commercial | $1,218.24 | ↓ -20% |
| Geisinger | Commercial | $1,661.88 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,776.60 | ↑ +17% |
| Wellspan Population Health | Commercial | $1,776.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,890.81 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,157.30 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Inj anifrolumab-fnia 1mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,166.40 | $6.97 – $44.80 |
| UPMC Carlisle | Carlisle | $1,522.80 | $17.90 – $2,157.30 |
| UPMC Cole | Coudersport | $13,281.60 | $18.08 – $17,708.80 |
| UPMC Community Osteopathic | Harrisburg | $1,522.80 | $11.61 – $2,157.30 |
| UPMC Hamot | Erie | $10,723.20 | $6.97 – $19.53 |
| UPMC Hanover | Hanover | $1,522.80 | $17.90 – $28.93 |
| UPMC Lititz | Lititz | $1,522.80 | $17.90 – $28.93 |
| UPMC Magee | Pittsburgh | $10,559.40 | $7.04 – $19.53 |