Varicella-zoster immue globin im at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,309.20
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.
$2,182.00
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.
$10.50 with United Healthcare Community Plan for Families vs $8,323.53 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $10.50 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.70 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.70 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $13.00 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -99% |
| Highmark BCBS of PA | Medicare | $189.38 | ↓ -86% |
| Prime Net | Managed Medicare | $299.97 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $363.60 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $363.60 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $652.48 | ↓ -50% |
| UPMC Health Plan | CHIP | $728.11 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $745.38 | ↓ -43% |
| Aetna | ACO | $750.83 | ↓ -43% |
| Prime Net | GateKeeper/NonGateKeeper | $867.19 | ↓ -34% |
| Aetna | Commercial | $872.64 | ↓ -33% |
| United Healthcare | Commercial | $1,119.89 | ↓ -14% |
| Geisinger | Commercial | $1,190.43 | ↓ -9% |
| Wellspan Population Health | Commercial | $1,272.60 | ↓ -3% |
| UPMC Health Plan | Commercial | $1,272.60 | ↓ -3% |
| Prime Net | FH-Medical Rental | $1,354.41 | ↑ +3% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,545.30 | ↑ +18% |
| Keystone Health Plan | Commercial | $2,284.63 | ↑ +75% |
| Capital Blue Cross | CHIP | $2,325.96 | ↑ +78% |
| Capital Blue Cross | Commercial | $2,325.96 | ↑ +78% |
| Aetna | Medicare | $2,463.38 | ↑ +88% |
| Geisinger | Medicare | $2,479.91 | ↑ +89% |
| Cigna | Medicare | $2,479.91 | ↑ +89% |
| United Healthcare | Medicare | $2,527.15 | ↑ +93% |
| Cigna | Commercial | $3,446.72 | ↑ +163% |
| Keystone Autism Services | ACAP | $3,778.91 | ↑ +189% |
| Highmark BCBS of PA | Medicaid | $7,823.29 | ↑ +498% |
| Highmark BCBS of PA | Commercial | $8,323.53 | ↑ +536% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Varicella-zoster immue globin im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,309.20 | $10.50 – $3,778.91 |
| UPMC Community Osteopathic | Harrisburg | $1,309.20 | $10.50 – $2,527.15 |
| UPMC Hanover | Hanover | $1,309.20 | $10.50 – $3,778.91 |
| UPMC Lititz | Lititz | $1,309.20 | $10.50 – $3,778.91 |
| UPMC Magee | Pittsburgh | $3,055.80 | $11.00 – $2,550.77 |
| UPMC Presbyterian | Pittsburgh | $2,109.00 | $11.00 – $2,598.00 |
| UPMC Somerset | Somerset | $1,309.20 | $11.00 – $2,361.82 |