Pertuzu, trastuzu, 10 mg at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$523.20
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.
$872.00
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.
$27.82 with Highmark BCBS of PA vs $741.20 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 | $27.82 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $62.10 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $62.10 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $63.34 | ↓ -88% |
| Aetna | Medicare | $64.77 | ↓ -88% |
| Cigna | Medicare | $65.20 | ↓ -88% |
| Geisinger | Medicare | $65.20 | ↓ -88% |
| United Healthcare | Medicare | $66.45 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $68.31 | ↓ -87% |
| Capital Blue Cross | Commercial | $73.43 | ↓ -86% |
| Capital Blue Cross | CHIP | $73.43 | ↓ -86% |
| UPMC Health Plan | CHIP | $76.38 | ↓ -85% |
| Keystone Health Plan | Commercial | $79.31 | ↓ -85% |
| Cigna | Commercial | $94.54 | ↓ -82% |
| Keystone Autism Services | ACAP | $99.36 | ↓ -81% |
| Prime Net | Managed Medicare | $143.88 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $174.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $174.40 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $205.70 | ↓ -61% |
| Highmark BCBS of PA | Commercial | $218.85 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $312.96 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $357.52 | ↓ -32% |
| Aetna | ACO | $360.14 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $415.94 | ↓ -21% |
| Aetna | Commercial | $418.56 | ↓ -20% |
| United Healthcare | Commercial | $470.85 | ↓ -10% |
| Geisinger | Commercial | $570.99 | ↑ +9% |
| Wellspan Population Health | Commercial | $610.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $610.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $649.64 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $741.20 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pertuzu, trastuzu, 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $34,651.80 | $62.10 – $30,800.80 |
| Uniontown Hospital | Uniontown | $27,833.07 | $59.90 – $139.57 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $40.95 – $133.11 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $50.83 – $133.11 |