Inj efgart-alfa 2mg hya-qvfc at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,723.20
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.
?
What you pay up front if you don't use insurance.
$2,872.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.86 with Highmark BCBS of PA vs $2,441.20 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $10.86 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $33.89 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.89 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.57 | ↓ -98% |
| Aetna | Medicare | $35.35 | ↓ -98% |
| Geisinger | Medicare | $35.58 | ↓ -98% |
| Cigna | Medicare | $35.58 | ↓ -98% |
| United Healthcare | Medicare | $36.26 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $37.28 | ↓ -98% |
| Capital Blue Cross | CHIP | $40.08 | ↓ -98% |
| Capital Blue Cross | Commercial | $40.08 | ↓ -98% |
| Keystone Health Plan | Commercial | $41.10 | ↓ -98% |
| UPMC Health Plan | CHIP | $41.68 | ↓ -98% |
| Cigna | Commercial | $45.01 | ↓ -97% |
| Keystone Autism Services | ACAP | $54.22 | ↓ -97% |
| Highmark BCBS of PA | Medicaid | $112.26 | ↓ -93% |
| Highmark BCBS of PA | Commercial | $119.44 | ↓ -93% |
| United Healthcare | Commercial | $226.42 | ↓ -87% |
| Prime Net | Managed Medicare | $473.88 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $574.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $574.40 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,030.76 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $1,177.52 | ↓ -32% |
| Aetna | ACO | $1,186.14 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,369.94 | ↓ -21% |
| Aetna | Commercial | $1,378.56 | ↓ -20% |
| Geisinger | Commercial | $1,880.59 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,010.40 | ↑ +17% |
| Wellspan Population Health | Commercial | $2,010.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,139.64 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,441.20 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Inj efgart-alfa 2mg hya-qvfc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,723.20 | $33.55 – $2,441.20 |
| UPMC Community Osteopathic | Harrisburg | $1,723.20 | $22.19 – $2,441.20 |
| UPMC Hanover | Hanover | $1,723.20 | $33.55 – $54.22 |
| UPMC Lititz | Lititz | $1,723.20 | $33.55 – $54.22 |
| UPMC Somerset | Somerset | $1,723.20 | $13.19 – $33.89 |