Lutetium lu 177 dotatat ther at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$616.20
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.
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What you pay up front if you don't use insurance.
$1,027.00
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.
$134.77 with Highmark BCBS of PA vs $1,117.14 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $134.77 | ↓ -78% |
| Prime Net | Managed Medicare | $169.46 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $205.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $205.40 | ↓ -67% |
| Aetna | Medicare | $330.62 | ↓ -46% |
| Geisinger | Medicare | $332.84 | ↓ -46% |
| Cigna | Medicare | $332.84 | ↓ -46% |
| United Healthcare | Medicare | $339.18 | ↓ -45% |
| Keystone Health Plan | Commercial | $364.65 | ↓ -41% |
| UPMC Health Plan | CHIP | $370.22 | ↓ -40% |
| Capital Blue Cross | CHIP | $379.03 | ↓ -38% |
| Capital Blue Cross | Commercial | $379.03 | ↓ -38% |
| Cigna | Commercial | $401.95 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $421.07 | ↓ -32% |
| Aetna | ACO | $424.15 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $489.88 | ↓ -20% |
| Aetna | Commercial | $492.96 | ↓ -20% |
| Keystone Autism Services | ACAP | $507.18 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $564.85 | ↓ -8% |
| United Healthcare | Commercial | $632.63 | ↑ +3% |
| Geisinger | Commercial | $672.48 | ↑ +9% |
| Wellspan Population Health | Commercial | $718.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $718.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $765.12 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $872.95 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $1,050.00 | ↑ +70% |
| Highmark BCBS of PA | Commercial | $1,117.14 | ↑ +81% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Lutetium lu 177 dotatat ther at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $616.20 | $140.70 – $872.95 |
| UPMC Community Osteopathic | Harrisburg | $616.20 | $205.40 – $872.95 |
| UPMC Hanover | Hanover | $616.20 | $313.82 – $507.18 |
| UPMC Lititz | Lititz | $616.20 | $313.82 – $507.18 |
| UPMC Presbyterian | Pittsburgh | $1,290.00 | $166.93 – $598.57 |
| UPMC Somerset | Somerset | $616.20 | $163.69 – $342.32 |
| UPMC Williamsport | Williamsport | $607.20 | $320.10 – $342.35 |
| Uniontown Hospital | Uniontown | $333.50 | $350.21 – $815.99 |