Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$4,300.20
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.
$7,167.00
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.
$124.32 with Highmark BCBS of PA vs $6,091.95 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $124.32 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $184.91 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $184.91 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $188.61 | ↓ -96% |
| Aetna | Medicare | $192.86 | ↓ -96% |
| Geisinger | Medicare | $194.16 | ↓ -95% |
| Cigna | Medicare | $194.16 | ↓ -95% |
| United Healthcare | Medicare | $197.85 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $203.40 | ↓ -95% |
| Capital Blue Cross | Commercial | $218.66 | ↓ -95% |
| Capital Blue Cross | CHIP | $218.66 | ↓ -95% |
| UPMC Health Plan | CHIP | $227.44 | ↓ -95% |
| Keystone Autism Services | ACAP | $295.86 | ↓ -93% |
| Keystone Health Plan | Commercial | $370.39 | ↓ -91% |
| Cigna | Commercial | $463.38 | ↓ -89% |
| Highmark BCBS of PA | Medicaid | $612.50 | ↓ -86% |
| Highmark BCBS of PA | Commercial | $651.66 | ↓ -85% |
| Prime Net | Managed Medicare | $1,182.56 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $1,433.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,433.40 | ↓ -67% |
| United Healthcare | Commercial | $2,307.89 | ↓ -46% |
| UPMC Work Partners | Workers Comp | $2,572.24 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $2,938.47 | ↓ -32% |
| Aetna | ACO | $2,959.97 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $3,418.66 | ↓ -20% |
| Aetna | Commercial | $3,440.16 | ↓ -20% |
| Geisinger | Commercial | $4,692.95 | ↑ +9% |
| Wellspan Population Health | Commercial | $5,016.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $5,016.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,339.41 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,091.95 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $645.60 | $116.75 – $860.80 |
| UPMC Bedford | Everett | $645.60 | $66.72 – $968.40 |
| UPMC Carlisle | Carlisle | $4,300.20 | $183.06 – $6,091.95 |
| UPMC Community Osteopathic | Harrisburg | $4,300.20 | $183.06 – $6,091.95 |
| UPMC Hamot | Erie | $645.60 | $116.75 – $199.70 |
| UPMC Northwest | Seneca | $645.60 | $116.75 – $199.70 |
| UPMC Hanover | Hanover | $4,300.20 | $183.06 – $295.86 |
| UPMC Horizon-Greenville | Greenville | $645.60 | $116.75 – $346.98 |