Lutetium lu 177 vipivotide at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$27,310.20
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.
$45,517.00
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.
$78.69 with Highmark BCBS of PA vs $16,336.05 with UPMC Work Partners — 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 | $78.69 | ↓ -100% |
| Prime Net | Managed Medicare | $135.13 | ↓ -100% |
| Capital Blue Cross | Medicare Advantage | $163.80 | ↓ -99% |
| Keystone Health Plan | Medicare Advantage | $163.80 | ↓ -99% |
| Aetna | Medicare | $266.84 | ↓ -99% |
| Geisinger | Medicare | $268.63 | ↓ -99% |
| Cigna | Medicare | $268.63 | ↓ -99% |
| United Healthcare | Medicare | $273.75 | ↓ -99% |
| Keystone Health Plan | Commercial | $282.10 | ↓ -99% |
| Capital Blue Cross | Commercial | $308.66 | ↓ -99% |
| Capital Blue Cross | CHIP | $308.66 | ↓ -99% |
| Cigna | Commercial | $327.32 | ↓ -99% |
| Prime Net | ACO/Legacy Commercial | $335.79 | ↓ -99% |
| Aetna | ACO | $338.25 | ↓ -99% |
| Prime Net | GateKeeper/NonGateKeeper | $390.66 | ↓ -99% |
| Aetna | Commercial | $393.12 | ↓ -99% |
| Keystone Autism Services | ACAP | $409.34 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $450.45 | ↓ -98% |
| United Healthcare | Commercial | $504.50 | ↓ -98% |
| Geisinger | Commercial | $536.28 | ↓ -98% |
| Wellspan Population Health | Commercial | $573.30 | ↓ -98% |
| UPMC Health Plan | CHIP | $573.30 | ↓ -98% |
| UPMC Health Plan | Commercial | $573.30 | ↓ -98% |
| Prime Net | FH-Medical Rental | $610.15 | ↓ -98% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $696.15 | ↓ -97% |
| Highmark BCBS of PA | Medicaid | $847.44 | ↓ -97% |
| Highmark BCBS of PA | Commercial | $901.63 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $16,336.05 | ↓ -40% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Lutetium lu 177 vipivotide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $456.00 | $97.47 – $281.42 |
| UPMC Passavant-McCandless | Pittsburgh | $483.00 | $97.47 – $281.42 |
| UPMC Presbyterian | Pittsburgh | $862.20 | $97.47 – $281.42 |
| UPMC Williamsport | Williamsport | $600.00 | $258.35 – $276.31 |
| WellSpan Gettysburg Hospital | Gettysburg | $624.00 | $180.91 – $869.37 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $163.58 – $531.68 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $203.02 – $531.68 |