Pegloticase 8 mg/ml intravenous solution at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$17,178.60
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.
$28,631.00
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.
$340.24 with Highmark BCBS of PA vs $12,901.50 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $340.24 | ↓ -98% |
| Prime Net | Managed Medicare | $2,310.00 | ↓ -87% |
| Capital Blue Cross | Medicare Advantage | $2,800.00 | ↓ -84% |
| Keystone Health Plan | Medicare Advantage | $2,800.00 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $3,660.83 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,660.83 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,734.05 | ↓ -78% |
| Aetna | Medicare | $3,818.25 | ↓ -78% |
| Cigna | Medicare | $3,843.87 | ↓ -78% |
| Geisinger | Medicare | $3,843.87 | ↓ -78% |
| United Healthcare | Medicare | $3,917.09 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $4,026.92 | ↓ -77% |
| Capital Blue Cross | Commercial | $4,329.11 | ↓ -75% |
| Capital Blue Cross | CHIP | $4,329.11 | ↓ -75% |
| Keystone Health Plan | Commercial | $4,408.01 | ↓ -74% |
| UPMC Health Plan | CHIP | $4,502.83 | ↓ -74% |
| Cigna | Commercial | $4,753.22 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $5,024.60 | ↓ -71% |
| Prime Net | ACO/Legacy Commercial | $5,740.00 | ↓ -67% |
| Aetna | ACO | $5,782.00 | ↓ -66% |
| Keystone Autism Services | ACAP | $5,857.33 | ↓ -66% |
| Prime Net | GateKeeper/NonGateKeeper | $6,678.00 | ↓ -61% |
| Aetna | Commercial | $6,720.00 | ↓ -61% |
| United Healthcare | Commercial | $8,624.00 | ↓ -50% |
| Geisinger | Commercial | $9,167.20 | ↓ -47% |
| UPMC Health Plan | Commercial | $9,800.00 | ↓ -43% |
| Wellspan Population Health | Commercial | $9,800.00 | ↓ -43% |
| Prime Net | FH-Medical Rental | $10,430.00 | ↓ -39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $11,900.00 | ↓ -31% |
| Highmark BCBS of PA | Medicaid | $12,126.13 | ↓ -29% |
| Highmark BCBS of PA | Commercial | $12,901.50 | ↓ -25% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $17,178.60 | $1,918.00 – $11,900.00 |
| UPMC Cole | Coudersport | $76,549.80 | $3,660.83 – $102,066.40 |
| UPMC Community Osteopathic | Harrisburg | $17,178.60 | $695.08 – $11,900.00 |
| UPMC Hamot | Erie | $5,918.40 | $417.45 – $3,953.70 |
| UPMC Hanover | Hanover | $17,178.60 | $3,624.22 – $5,857.33 |
| UPMC Horizon-Greenville | Greenville | $6,349.20 | $1,063.90 – $3,953.70 |
| UPMC Lititz | Lititz | $17,178.60 | $3,624.22 – $5,857.33 |
| UPMC Mercy | Pittsburgh | $6,349.20 | $417.45 – $4,026.91 |