Mayo everolimus therapeutic drug level at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$34.80
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.
$58.00
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.
$9.57 with Prime Net vs $139.33 with UPMC Health Plan — 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 | $9.57 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $11.26 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $11.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $11.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $14.19 | ↓ -59% |
| Aetna | Medicare | $14.32 | ↓ -59% |
| Geisinger | Medicare | $14.42 | ↓ -59% |
| Cigna | Medicare | $14.42 | ↓ -59% |
| United Healthcare | Medicare | $14.69 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.98 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.02 | ↓ -45% |
| UPMC Health Plan | Managed Medicaid | $19.47 | ↓ -44% |
| United Healthcare Community Plan for Families | PA Medicaid | $19.62 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.40 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $21.82 | ↓ -37% |
| Keystone Autism Services | ACAP | $21.97 | ↓ -37% |
| Prime Net | ACO/Legacy Commercial | $23.78 | ↓ -32% |
| Aetna | ACO | $23.95 | ↓ -31% |
| United Healthcare | Commercial | $24.20 | ↓ -30% |
| Prime Net | GateKeeper/NonGateKeeper | $27.67 | ↓ -20% |
| Aetna | Commercial | $27.84 | ↓ -20% |
| Cigna | Commercial | $35.68 | ↑ +3% |
| Geisinger | Commercial | $37.98 | ↑ +9% |
| Wellspan Population Health | Commercial | $40.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $40.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $43.21 | ↑ +24% |
| Highmark BCBS of PA | Medicaid | $45.48 | ↑ +31% |
| Highmark BCBS of PA | Commercial | $48.39 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $49.30 | ↑ +42% |
| Keystone Health Plan | Commercial | $92.80 | ↑ +167% |
| Capital Blue Cross | CHIP | $92.80 | ↑ +167% |
| Capital Blue Cross | Commercial | $92.80 | ↑ +167% |
| UPMC Health Plan | CHIP | $139.33 | ↑ +300% |
Visitor-reported prices
Comments
Mayo everolimus therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $120.00 | $13.56 – $160.00 |
| UPMC Bedford | Everett | $88.20 | $4.95 – $132.30 |
| UPMC Carlisle | Carlisle | $34.80 | $7.95 – $49.30 |
| UPMC Community Osteopathic | Harrisburg | $34.80 | $11.60 – $139.33 |
| UPMC East | Monroeville | $203.40 | $13.56 – $271.20 |
| UPMC Hamot | Erie | $155.40 | $13.56 – $20.82 |
| UPMC Northwest | Seneca | $141.60 | $12.45 – $17.23 |
| UPMC Hanover | Hanover | $34.80 | $13.59 – $21.97 |