Telavancin injection at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$367.80
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.
$613.00
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.
$3.59 with Highmark BCBS of PA vs $396.95 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 | $3.59 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.11 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $7.11 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.26 | ↓ -98% |
| Aetna | Medicare | $7.42 | ↓ -98% |
| Geisinger | Medicare | $7.47 | ↓ -98% |
| Cigna | Medicare | $7.47 | ↓ -98% |
| United Healthcare | Medicare | $7.61 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $7.82 | ↓ -98% |
| Capital Blue Cross | Commercial | $8.41 | ↓ -98% |
| Capital Blue Cross | CHIP | $8.41 | ↓ -98% |
| UPMC Health Plan | CHIP | $8.75 | ↓ -98% |
| Keystone Health Plan | Commercial | $9.18 | ↓ -98% |
| Cigna | Commercial | $9.94 | ↓ -97% |
| Keystone Autism Services | ACAP | $11.38 | ↓ -97% |
| Highmark BCBS of PA | Medicaid | $23.55 | ↓ -94% |
| Highmark BCBS of PA | Commercial | $25.06 | ↓ -93% |
| United Healthcare | Commercial | $49.50 | ↓ -87% |
| Prime Net | Managed Medicare | $77.06 | ↓ -79% |
| Keystone Health Plan | Medicare Advantage | $93.40 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $93.40 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $167.61 | ↓ -54% |
| Prime Net | ACO/Legacy Commercial | $191.47 | ↓ -48% |
| Aetna | ACO | $192.87 | ↓ -48% |
| Prime Net | GateKeeper/NonGateKeeper | $222.76 | ↓ -39% |
| Aetna | Commercial | $224.16 | ↓ -39% |
| Geisinger | Commercial | $305.79 | ↓ -17% |
| Wellspan Population Health | Commercial | $326.90 | ↓ -11% |
| UPMC Health Plan | Commercial | $326.90 | ↓ -11% |
| Prime Net | FH-Medical Rental | $347.92 | ↓ -5% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $396.95 | ↑ +8% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Telavancin injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $367.80 | $7.04 – $396.95 |
| UPMC Community Osteopathic | Harrisburg | $367.80 | $7.04 – $396.95 |
| UPMC East | Monroeville | $631.80 | $1.67 – $11.20 |
| UPMC Hanover | Hanover | $367.80 | $7.04 – $11.38 |
| UPMC Lititz | Lititz | $367.80 | $7.04 – $11.38 |
| UPMC Passavant-McCandless | Pittsburgh | $987.60 | $4.45 – $7.82 |
| UPMC Presbyterian | Pittsburgh | $748.80 | $4.45 – $7.82 |
| UPMC Somerset | Somerset | $367.80 | $4.36 – $7.11 |