Methotrexate sodium 2.5 mg tablet at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1.80
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.
$3.00
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.
$0.16 with Health Partners Plans (Jefferson Health Plan) vs $5.83 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.16 | ↓ -91% |
| Aetna | Medicare | $0.19 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.19 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $0.19 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.19 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $0.21 | ↓ -88% |
| Capital Blue Cross | Commercial | $0.22 | ↓ -88% |
| Keystone Health Plan | Commercial | $0.22 | ↓ -88% |
| Capital Blue Cross | CHIP | $0.22 | ↓ -88% |
| UPMC Health Plan | CHIP | $0.23 | ↓ -87% |
| Prime Net | Managed Medicare | $0.33 | ↓ -82% |
| Cigna | Commercial | $0.38 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $0.40 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $0.40 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $0.72 | ↓ -60% |
| Prime Net | ACO/Legacy Commercial | $0.82 | ↓ -54% |
| Aetna | ACO | $0.83 | ↓ -54% |
| Prime Net | GateKeeper/NonGateKeeper | $0.95 | ↓ -47% |
| Aetna | Commercial | $0.96 | ↓ -47% |
| United Healthcare | Commercial | $1.23 | ↓ -32% |
| Geisinger | Commercial | $1.31 | ↓ -27% |
| Wellspan Population Health | Commercial | $1.40 | ↓ -22% |
| UPMC Health Plan | Commercial | $1.40 | ↓ -22% |
| Prime Net | FH-Medical Rental | $1.49 | ↓ -17% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1.70 | ↓ -6% |
| Highmark BCBS of PA | Medicare | $5.83 | ↑ +224% |
Visitor-reported prices
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Methotrexate sodium 2.5 mg tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11.80 | $0.12 – $11.20 |
| UPMC Carlisle | Carlisle | $1.80 | $0.16 – $1.70 |
| UPMC Cole | Coudersport | $6.60 | $0.19 – $8.80 |
| UPMC Community Osteopathic | Harrisburg | $1.80 | $0.16 – $11.92 |
| UPMC East | Monroeville | $42.80 | $0.12 – $42.40 |
| UPMC Hamot | Erie | $106.40 | $0.12 – $0.74 |
| UPMC Northwest | Seneca | $29.80 | $0.12 – $12.93 |
| UPMC Hanover | Hanover | $1.80 | $0.16 – $0.38 |