Tobramycin non-comp unit at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1.80
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.
$3.00
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.
$0.33 with Prime Net vs $58.45 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 | $0.33 | ↓ -82% |
| Keystone Health Plan | Medicare Advantage | $0.40 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $0.40 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $0.72 | ↓ -60% |
| Prime Net | ACO/Legacy Commercial | $0.82 | ↓ -54% |
| Aetna | ACO | $0.83 | ↓ -54% |
| Prime Net | GateKeeper/NonGateKeeper | $0.95 | ↓ -47% |
| Aetna | Commercial | $0.96 | ↓ -47% |
| United Healthcare | Commercial | $1.23 | ↓ -32% |
| Geisinger | Commercial | $1.31 | ↓ -27% |
| Wellspan Population Health | Commercial | $1.40 | ↓ -22% |
| UPMC Health Plan | Commercial | $1.40 | ↓ -22% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1.47 | ↓ -18% |
| Prime Net | FH-Medical Rental | $1.49 | ↓ -17% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1.70 | ↓ -6% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $16.22 | ↑ +801% |
| Geisinger | Medicaid/CHIP | $16.22 | ↑ +801% |
| Aetna | Medicare | $16.38 | ↑ +810% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.54 | ↑ +819% |
| UPMC Health Plan | Managed Medicaid | $17.84 | ↑ +891% |
| Capital Blue Cross | Commercial | $19.17 | ↑ +965% |
| Capital Blue Cross | CHIP | $19.17 | ↑ +965% |
| Keystone Health Plan | Commercial | $19.87 | ↑ +1004% |
| UPMC Health Plan | CHIP | $19.95 | ↑ +1008% |
| Cigna | Commercial | $30.72 | ↑ +1607% |
| Highmark BCBS of PA | Medicare | $58.45 | ↑ +3147% |
Visitor-reported prices
Comments
Tobramycin non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $542.40 | $10.24 – $61.08 |
| UPMC Magee | Pittsburgh | $534.00 | $10.24 – $72.40 |
| UPMC Passavant-McCandless | Pittsburgh | $533.40 | $10.24 – $72.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $13.64 – $20.88 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $13.64 – $20.88 |