Leuprolide 3.75 mg intramuscular syringe kit at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$3,087.60
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.
$5,146.00
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.
$282.98 with Prime Net vs $6,097.99 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $282.98 | ↓ -91% |
| Keystone Health Plan | Medicare Advantage | $343.00 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $343.00 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $615.51 | ↓ -80% |
| Prime Net | ACO/Legacy Commercial | $703.15 | ↓ -77% |
| Aetna | ACO | $708.29 | ↓ -77% |
| Highmark BCBS of PA | Medicare | $770.35 | ↓ -75% |
| Prime Net | GateKeeper/NonGateKeeper | $818.05 | ↓ -74% |
| Aetna | Commercial | $823.20 | ↓ -73% |
| United Healthcare | Commercial | $1,056.44 | ↓ -66% |
| Geisinger | Commercial | $1,122.98 | ↓ -64% |
| Wellspan Population Health | Commercial | $1,200.50 | ↓ -61% |
| UPMC Health Plan | Commercial | $1,200.50 | ↓ -61% |
| Prime Net | FH-Medical Rental | $1,277.67 | ↓ -59% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,457.75 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,730.32 | ↓ -44% |
| Geisinger | Medicaid/CHIP | $1,730.32 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,738.65 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,764.93 | ↓ -43% |
| Aetna | Medicare | $1,804.72 | ↓ -42% |
| Geisinger | Medicare | $1,816.84 | ↓ -41% |
| Cigna | Medicare | $1,816.84 | ↓ -41% |
| United Healthcare | Medicare | $1,851.44 | ↓ -40% |
| UPMC Health Plan | Managed Medicaid | $1,903.36 | ↓ -38% |
| Capital Blue Cross | Commercial | $2,046.19 | ↓ -34% |
| Capital Blue Cross | CHIP | $2,046.19 | ↓ -34% |
| Keystone Health Plan | Commercial | $2,069.59 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,128.30 | ↓ -31% |
| Cigna | Commercial | $2,206.09 | ↓ -29% |
| Keystone Autism Services | ACAP | $2,768.51 | ↓ -10% |
| Highmark BCBS of PA | Medicaid | $5,731.51 | ↑ +86% |
| Highmark BCBS of PA | Commercial | $6,097.99 | ↑ +97% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Leuprolide 3.75 mg intramuscular syringe kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,737.80 | $945.16 – $3,650.40 |
| UPMC Carlisle | Carlisle | $3,087.60 | $234.96 – $2,768.51 |
| UPMC Cole | Coudersport | $30,538.80 | $1,722.24 – $4,970.40 |
| UPMC Community Osteopathic | Harrisburg | $3,087.60 | $343.00 – $2,128.30 |
| UPMC East | Monroeville | $4,568.40 | $859.09 – $5,746.40 |
| UPMC Hamot | Erie | $2,710.80 | $945.16 – $1,868.75 |
| UPMC Northwest | Seneca | $6,521.40 | $1,092.53 – $1,868.75 |
| UPMC Hanover | Hanover | $3,087.60 | $1,713.02 – $2,768.51 |