Injection, cangrelor at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$572.40
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.
$954.00
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.
$9.04 with Highmark BCBS of PA vs $636.65 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 | $9.04 | ↓ -98% |
| Aetna | Medicare | $20.84 | ↓ -96% |
| UPMC Health Plan | CHIP | $20.89 | ↓ -96% |
| Geisinger | Medicare | $20.98 | ↓ -96% |
| Cigna | Medicare | $20.98 | ↓ -96% |
| United Healthcare | Medicare | $21.38 | ↓ -96% |
| Cigna | Commercial | $25.66 | ↓ -96% |
| Keystone Autism Services | ACAP | $31.97 | ↓ -94% |
| Highmark BCBS of PA | Medicaid | $66.18 | ↓ -88% |
| Highmark BCBS of PA | Commercial | $70.41 | ↓ -88% |
| Prime Net | Managed Medicare | $123.58 | ↓ -78% |
| United Healthcare | Commercial | $128.15 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $149.80 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $149.80 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $268.82 | ↓ -53% |
| Prime Net | ACO/Legacy Commercial | $307.09 | ↓ -46% |
| Aetna | ACO | $309.34 | ↓ -46% |
| Prime Net | GateKeeper/NonGateKeeper | $357.27 | ↓ -38% |
| Aetna | Commercial | $359.52 | ↓ -37% |
| Geisinger | Medicaid/CHIP | $411.95 | ↓ -28% |
| Capital Blue Cross | CHIP | $453.44 | ↓ -21% |
| Capital Blue Cross | Commercial | $453.44 | ↓ -21% |
| Keystone Health Plan | Commercial | $476.14 | ↓ -17% |
| Geisinger | Commercial | $490.45 | ↓ -14% |
| Wellspan Population Health | Commercial | $524.30 | ↓ -8% |
| UPMC Health Plan | Commercial | $524.30 | ↓ -8% |
| Prime Net | FH-Medical Rental | $558.00 | ↓ -3% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $636.65 | ↑ +11% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $572.40 | $10.99 – $636.65 |
| UPMC Community Osteopathic | Harrisburg | $572.40 | $18.48 – $636.65 |
| UPMC Hamot | Erie | $1,969.80 | $11.10 – $21.58 |
| UPMC Hanover | Hanover | $572.40 | $19.78 – $31.97 |
| UPMC Jameson | New Castle | $4,273.80 | $11.29 – $24.98 |
| UPMC Lititz | Lititz | $572.40 | $19.78 – $31.97 |
| UPMC Magee | Pittsburgh | $4,032.00 | $11.20 – $21.58 |
| UPMC Mercy | Pittsburgh | $1,943.40 | $11.10 – $21.98 |