Theophylline therapeutic drug level at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$101.40
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.
$169.00
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.
$11.00 with AmeriHealth Caritas vs $143.65 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.00 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.97 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.41 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $14.62 | ↓ -86% |
| Aetna | Medicare | $14.75 | ↓ -85% |
| Cigna | Medicare | $14.85 | ↓ -85% |
| Geisinger | Medicare | $14.85 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.98 | ↓ -85% |
| United Healthcare | Medicare | $15.13 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $16.02 | ↓ -84% |
| United Healthcare | Commercial | $20.35 | ↓ -80% |
| Highmark BCBS of PA | Medicare | $22.30 | ↓ -78% |
| Keystone Autism Services | ACAP | $22.62 | ↓ -78% |
| Prime Net | Managed Medicare | $27.89 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $33.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $33.80 | ↓ -67% |
| Cigna | Commercial | $36.76 | ↓ -64% |
| Highmark BCBS of PA | Medicaid | $46.84 | ↓ -54% |
| Highmark BCBS of PA | Commercial | $49.83 | ↓ -51% |
| Prime Net | ACO/Legacy Commercial | $69.29 | ↓ -32% |
| Aetna | ACO | $69.80 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $80.61 | ↓ -21% |
| Aetna | Commercial | $81.12 | ↓ -20% |
| UPMC Health Plan | CHIP | $87.36 | ↓ -14% |
| Keystone Health Plan | Commercial | $102.36 | ↑ +1% |
| Capital Blue Cross | CHIP | $102.36 | ↑ +1% |
| Capital Blue Cross | Commercial | $102.36 | ↑ +1% |
| Geisinger | Commercial | $110.66 | ↑ +9% |
| Wellspan Population Health | Commercial | $118.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $118.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $125.91 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $143.65 | ↑ +42% |
Visitor-reported prices
Comments
Theophylline therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $213.00 | $11.00 – $284.00 |
| UPMC Bedford | Everett | $75.00 | $5.10 – $112.50 |
| UPMC Carlisle | Carlisle | $101.40 | $11.00 – $143.65 |
| UPMC Cole | Coudersport | $97.80 | $9.19 – $130.40 |
| UPMC Community Osteopathic | Harrisburg | $101.40 | $11.00 – $143.65 |
| UPMC East | Monroeville | $212.40 | $11.00 – $283.20 |
| UPMC Hamot | Erie | $182.40 | $11.00 – $27.36 |
| UPMC Northwest | Seneca | $81.00 | $12.10 – $15.27 |