Valrubicin injection at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$168.60
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.
$281.00
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.
$46.37 with Prime Net vs $4,663.75 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 | $46.37 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $56.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $56.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $100.85 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $115.21 | ↓ -32% |
| Aetna | ACO | $116.05 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $134.04 | ↓ -20% |
| Aetna | Commercial | $134.88 | ↓ -20% |
| United Healthcare | Commercial | $173.10 | ↑ +3% |
| Geisinger | Commercial | $184.00 | ↑ +9% |
| Wellspan Population Health | Commercial | $196.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $196.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $209.34 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $238.85 | ↑ +42% |
| Highmark BCBS of PA | Medicare | $561.31 | ↑ +233% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,323.35 | ↑ +685% |
| Geisinger | Medicaid/CHIP | $1,323.35 | ↑ +685% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,349.81 | ↑ +701% |
| Aetna | Medicare | $1,380.25 | ↑ +719% |
| Geisinger | Medicare | $1,389.52 | ↑ +724% |
| Cigna | Medicare | $1,389.52 | ↑ +724% |
| United Healthcare | Medicare | $1,415.98 | ↑ +740% |
| UPMC Health Plan | Managed Medicaid | $1,455.68 | ↑ +763% |
| Capital Blue Cross | Commercial | $1,564.91 | ↑ +828% |
| Capital Blue Cross | CHIP | $1,564.91 | ↑ +828% |
| UPMC Health Plan | CHIP | $1,627.71 | ↑ +865% |
| Keystone Health Plan | Commercial | $1,729.05 | ↑ +926% |
| Cigna | Commercial | $1,923.03 | ↑ +1041% |
| Keystone Autism Services | ACAP | $2,117.36 | ↑ +1156% |
| Highmark BCBS of PA | Medicaid | $4,383.46 | ↑ +2500% |
| Highmark BCBS of PA | Commercial | $4,663.75 | ↑ +2666% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Valrubicin injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $168.60 | $38.50 – $2,117.36 |
| UPMC Community Osteopathic | Harrisburg | $168.60 | $56.20 – $1,627.71 |
| UPMC Hanover | Hanover | $168.60 | $1,310.12 – $2,117.36 |
| UPMC Lititz | Lititz | $168.60 | $1,310.12 – $2,117.36 |
| UPMC Somerset | Somerset | $168.60 | $681.72 – $1,323.35 |
| Uniontown Hospital | Uniontown | $3,066.00 | $1,247.05 – $2,905.63 |