Mayo phospholipid neutralization hexagonal lupus anticoagulant at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$91.80
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.
$153.00
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.
$18.60 with UPMC Work Partners vs $130.05 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $18.60 | ↓ -80% |
| Aetna | Medicare | $18.75 | ↓ -80% |
| Geisinger | Medicare | $18.88 | ↓ -79% |
| Cigna | Medicare | $18.88 | ↓ -79% |
| United Healthcare | Medicare | $19.24 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.24 | ↓ -78% |
| Prime Net | Managed Medicare | $25.25 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.70 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $26.31 | ↓ -71% |
| United Healthcare Community Plan for Families | PA Medicaid | $26.51 | ↓ -71% |
| United Healthcare | Commercial | $26.63 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $27.57 | ↓ -70% |
| Keystone Autism Services | ACAP | $28.77 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $29.48 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $30.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $30.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $38.33 | ↓ -58% |
| Cigna | Commercial | $46.76 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $59.56 | ↓ -35% |
| Prime Net | ACO/Legacy Commercial | $62.73 | ↓ -32% |
| Aetna | ACO | $63.19 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $63.37 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $72.98 | ↓ -21% |
| Aetna | Commercial | $73.44 | ↓ -20% |
| UPMC Health Plan | CHIP | $76.27 | ↓ -17% |
| Geisinger | Commercial | $100.18 | ↑ +9% |
| Wellspan Population Health | Commercial | $107.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $107.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $113.98 | ↑ +24% |
| Capital Blue Cross | Commercial | $125.35 | ↑ +37% |
| Keystone Health Plan | Commercial | $125.35 | ↑ +37% |
| Capital Blue Cross | CHIP | $125.35 | ↑ +37% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $130.05 | ↑ +42% |
Visitor-reported prices
Comments
Mayo phospholipid neutralization hexagonal lupus anticoagulant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $231.60 | $17.78 – $308.80 |
| UPMC Carlisle | Carlisle | $91.80 | $17.80 – $130.05 |
| UPMC Community Osteopathic | Harrisburg | $91.80 | $17.80 – $130.05 |
| UPMC East | Monroeville | $204.60 | $17.78 – $272.80 |
| UPMC Hamot | Erie | $258.00 | $17.78 – $47.03 |
| UPMC Northwest | Seneca | $295.80 | $16.31 – $23.28 |
| UPMC Hanover | Hanover | $91.80 | $17.80 – $28.77 |
| UPMC Horizon-Greenville | Greenville | $170.40 | $16.10 – $33.74 |