Pemetrexed disodium 100 mg intravenous powder for solution at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,425.80
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.
$4,043.00
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.
$4.36 with Geisinger vs $70.16 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $4.36 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.36 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.44 | ↓ -100% |
| Aetna | Medicare | $4.55 | ↓ -100% |
| Geisinger | Medicare | $4.58 | ↓ -100% |
| Cigna | Medicare | $4.58 | ↓ -100% |
| United Healthcare | Medicare | $4.67 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $4.79 | ↓ -100% |
| Prime Net | Managed Medicare | $4.95 | ↓ -100% |
| Capital Blue Cross | CHIP | $5.14 | ↓ -100% |
| Capital Blue Cross | Commercial | $5.14 | ↓ -100% |
| UPMC Health Plan | CHIP | $5.36 | ↓ -100% |
| Keystone Health Plan | Medicare Advantage | $6.00 | ↓ -100% |
| Capital Blue Cross | Medicare Advantage | $6.00 | ↓ -100% |
| Cigna | Commercial | $6.16 | ↓ -100% |
| Keystone Health Plan | Commercial | $6.55 | ↓ -100% |
| Keystone Autism Services | ACAP | $6.98 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $10.77 | ↓ -100% |
| Prime Net | ACO/Legacy Commercial | $12.30 | ↓ -99% |
| Aetna | ACO | $12.39 | ↓ -99% |
| Prime Net | GateKeeper/NonGateKeeper | $14.31 | ↓ -99% |
| Aetna | Commercial | $14.40 | ↓ -99% |
| Highmark BCBS of PA | Medicaid | $14.44 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $15.37 | ↓ -99% |
| United Healthcare | Commercial | $18.48 | ↓ -99% |
| Geisinger | Commercial | $19.64 | ↓ -99% |
| Wellspan Population Health | Commercial | $21.00 | ↓ -99% |
| UPMC Health Plan | Commercial | $21.00 | ↓ -99% |
| Prime Net | FH-Medical Rental | $22.35 | ↓ -99% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $25.50 | ↓ -99% |
| Highmark BCBS of PA | Medicare | $70.16 | ↓ -97% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pemetrexed disodium 100 mg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,827.60 | $2.75 – $244.00 |
| UPMC Carlisle | Carlisle | $2,425.80 | $4.11 – $25.50 |
| UPMC Cole | Coudersport | $10,066.80 | $4.36 – $2,684.00 |
| UPMC Community Osteopathic | Harrisburg | $2,425.80 | $4.32 – $25.50 |
| UPMC East | Monroeville | $635.20 | $2.75 – $205.60 |
| UPMC Hamot | Erie | $1,474.20 | $2.75 – $46.98 |
| UPMC Northwest | Seneca | $379.20 | $2.75 – $4.71 |
| UPMC Hanover | Hanover | $2,425.80 | $4.32 – $6.98 |