Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$15.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$26.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.17 with Prime Net vs $2.13 with Cigna — 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 →

Payer
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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
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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 $0.17 ↓ -99%
Capital Blue Cross Medicare Advantage $0.20 ↓ -99%
Keystone Health Plan Medicare Advantage $0.20 ↓ -99%
UPMC Work Partners Workers Comp $0.36 ↓ -98%
Aetna ACO $0.41 ↓ -97%
Prime Net ACO/Legacy Commercial $0.41 ↓ -97%
Prime Net GateKeeper/NonGateKeeper $0.48 ↓ -97%
Aetna Commercial $0.48 ↓ -97%
United Healthcare Commercial $0.62 ↓ -96%
Geisinger Commercial $0.65 ↓ -96%
Wellspan Population Health Commercial $0.70 ↓ -96%
UPMC Health Plan Commercial $0.70 ↓ -96%
Prime Net FH-Medical Rental $0.75 ↓ -95%
Multiplan PPO (Includes PHCS and Humana as Payers) $0.85 ↓ -95%
Highmark BCBS of PA Medicare $1.38 ↓ -91%
Geisinger Medicaid/CHIP $1.51 ↓ -90%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $1.51 ↓ -90%
Aetna Medicare $1.53 ↓ -90%
Highmark Wholecare (prev Gateway) Medicaid $1.54 ↓ -90%
UPMC Health Plan Managed Medicaid $1.66 ↓ -89%
Capital Blue Cross Commercial $1.79 ↓ -89%
Capital Blue Cross CHIP $1.79 ↓ -89%
UPMC Health Plan CHIP $1.86 ↓ -88%
Keystone Health Plan Commercial $1.88 ↓ -88%
Cigna Commercial $2.13 ↓ -86%

Visitor-reported prices

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Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $15.60 $0.14 – $2.13
UPMC Community Osteopathic Harrisburg $15.60 $0.20 – $2.82
UPMC Hamot Erie $128.40 $0.96 – $4.11
UPMC Hanover Hanover $15.60 $1.51 – $2.13
UPMC Lititz Lititz $15.60 $1.51 – $2.13
UPMC Magee Pittsburgh $285.00 $0.96 – $1.71
UPMC Muncy Muncy $135.00 $1.51 – $1.66
UPMC Presbyterian Pittsburgh $94.80 $0.96 – $1.71

All Pennsylvania hospitals for this procedure →