Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$4,559.40
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.
$7,599.00
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.
$86.51 with Highmark BCBS of PA vs $5,285.30 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 | $86.51 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $172.22 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $172.22 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $175.67 | ↓ -96% |
| Aetna | Medicare | $179.63 | ↓ -96% |
| Cigna | Medicare | $180.83 | ↓ -96% |
| Geisinger | Medicare | $180.83 | ↓ -96% |
| United Healthcare | Medicare | $184.28 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $189.44 | ↓ -96% |
| Keystone Health Plan | Commercial | $201.68 | ↓ -96% |
| Capital Blue Cross | CHIP | $203.66 | ↓ -96% |
| Capital Blue Cross | Commercial | $203.66 | ↓ -96% |
| UPMC Health Plan | CHIP | $211.83 | ↓ -95% |
| Cigna | Commercial | $215.89 | ↓ -95% |
| Keystone Autism Services | ACAP | $275.55 | ↓ -94% |
| Highmark BCBS of PA | Medicaid | $570.46 | ↓ -87% |
| Highmark BCBS of PA | Commercial | $606.94 | ↓ -87% |
| Prime Net | Managed Medicare | $1,025.97 | ↓ -77% |
| United Healthcare | Commercial | $1,075.21 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $1,243.60 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,243.60 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $2,231.64 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $2,549.38 | ↓ -44% |
| Aetna | ACO | $2,568.03 | ↓ -44% |
| Prime Net | GateKeeper/NonGateKeeper | $2,965.99 | ↓ -35% |
| Aetna | Commercial | $2,984.64 | ↓ -35% |
| Geisinger | Commercial | $4,071.55 | ↓ -11% |
| Wellspan Population Health | Commercial | $4,352.60 | ↓ -5% |
| UPMC Health Plan | Commercial | $4,352.60 | ↓ -5% |
| Prime Net | FH-Medical Rental | $4,632.41 | ↑ +2% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,285.30 | ↑ +16% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,298.60 | $106.14 – $301.60 |
| UPMC Bedford | Everett | $8,390.40 | $62.14 – $252.00 |
| UPMC Carlisle | Carlisle | $4,559.40 | $170.50 – $5,285.30 |
| UPMC Cole | Coudersport | $4,500.60 | $172.22 – $6,000.80 |
| UPMC Community Osteopathic | Harrisburg | $4,559.40 | $170.50 – $5,285.30 |
| UPMC East | Monroeville | $11,617.80 | $46.17 – $308.80 |
| UPMC Hamot | Erie | $14,038.20 | $106.14 – $186.00 |
| UPMC Northwest | Seneca | $9,993.00 | $108.74 – $186.00 |