Phentolaine mesylate inj at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$293.40
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.
$489.00
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.
$24.75 with Prime Net vs $1,522.52 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $24.75 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $30.00 | ↓ -90% |
| Capital Blue Cross | Medicare Advantage | $30.00 | ↓ -90% |
| Highmark BCBS of PA | Medicare | $39.04 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $53.84 | ↓ -82% |
| Prime Net | ACO/Legacy Commercial | $61.50 | ↓ -79% |
| Aetna | ACO | $61.95 | ↓ -79% |
| Prime Net | GateKeeper/NonGateKeeper | $71.55 | ↓ -76% |
| Aetna | Commercial | $72.00 | ↓ -75% |
| United Healthcare | Commercial | $92.40 | ↓ -69% |
| Geisinger | Commercial | $98.22 | ↓ -67% |
| Wellspan Population Health | Commercial | $105.00 | ↓ -64% |
| UPMC Health Plan | Commercial | $105.00 | ↓ -64% |
| Prime Net | FH-Medical Rental | $111.75 | ↓ -62% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $127.50 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $432.02 | ↑ +47% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $432.02 | ↑ +47% |
| Highmark Wholecare (prev Gateway) | Medicaid | $440.66 | ↑ +50% |
| Aetna | Medicare | $450.60 | ↑ +54% |
| Geisinger | Medicare | $453.62 | ↑ +55% |
| Cigna | Medicare | $453.62 | ↑ +55% |
| United Healthcare | Medicare | $462.26 | ↑ +58% |
| UPMC Health Plan | Managed Medicaid | $475.22 | ↑ +62% |
| Keystone Health Plan | Commercial | $489.99 | ↑ +67% |
| Capital Blue Cross | Commercial | $510.88 | ↑ +74% |
| Capital Blue Cross | CHIP | $510.88 | ↑ +74% |
| UPMC Health Plan | CHIP | $531.39 | ↑ +81% |
| Cigna | Commercial | $629.99 | ↑ +115% |
| Keystone Autism Services | ACAP | $691.23 | ↑ +136% |
| Highmark BCBS of PA | Medicaid | $1,431.02 | ↑ +388% |
| Highmark BCBS of PA | Commercial | $1,522.52 | ↑ +419% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Phentolaine mesylate inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $383.20 | $47.90 – $462.26 |
| UPMC Carlisle | Carlisle | $293.40 | $20.55 – $691.23 |
| UPMC Community Osteopathic | Harrisburg | $293.40 | $30.00 – $531.39 |
| UPMC East | Monroeville | $270.40 | $40.42 – $453.62 |
| UPMC Hamot | Erie | $540.00 | $47.90 – $466.58 |
| UPMC Northwest | Seneca | $460.00 | $124.32 – $466.58 |
| UPMC Hanover | Hanover | $293.40 | $427.70 – $691.23 |
| UPMC Horizon-Greenville | Greenville | $375.20 | $122.08 – $466.58 |