Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$35.00
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.
$43.75
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.
$3.91 with UNITED BEHAVIORAL HEALTH vs $7,277.16 with UPMC Health Plan — 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 BEHAVIORAL HEALTH | MEDICARE | $3.91 | ↓ -89% |
| Beacon | Medicare Advantage | $3.91 | ↓ -89% |
| Fidelis | Medicare | $3.91 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $3.91 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $3.91 | ↓ -89% |
| Humana | Medicare | $3.91 | ↓ -89% |
| United Healthcare | Medicare | $3.91 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3.99 | ↓ -89% |
| Wellcare | Medicare | $4.03 | ↓ -88% |
| Aetna | Medicare | $4.07 | ↓ -88% |
| Beacon | Commercial | $4.89 | ↓ -86% |
| Univera | Medicare Advantage | $4.97 | ↓ -86% |
| Independent Health | Commercial | $5.32 | ↓ -85% |
| Independent Health | Medicare Advantage | $5.32 | ↓ -85% |
| BCBS of Western NY | Commercial | $9.81 | ↓ -72% |
| UPMC Health Plan | Commercial | $25.80 | ↓ -26% |
| United Healthcare | Commercial | $27.52 | ↓ -21% |
| Aetna | Commercial | $27.95 | ↓ -20% |
| Multiplan | PPO (Includes PHCS as a Payer) | $32.25 | ↓ -8% |
| MagnaCare | Workers Compensation | $32.25 | ↓ -8% |
| MagnaCare | PPO | $32.25 | ↓ -8% |
| MagnaCare | No Fault | $32.25 | ↓ -8% |
| MagnaCare | Direct Plus | $32.25 | ↓ -8% |
| Humana | Commercial | $32.25 | ↓ -8% |
| GHI/Emblem Health | Commercial | $34.40 | ↓ -2% |
| Statewide Independent PPO | PPO | $37.84 | ↑ +8% |
| Affordable First Health | PPO | $38.70 | ↑ +11% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5,821.73 | ↑ +16534% |
| UPMC Health Plan | CHIP | $7,277.16 | ↑ +20692% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $19,716.90 | $4.26 – $1,522.90 |
| NewYork-Presbyterian Queens | Flushing | $19,716.90 | $4.27 – $1,523.20 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $19,716.90 | $4.27 – $1,168.90 |
| Rochester General Hospital | Rochester | not published | $3.80 – $17.60 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $3.44 – $15.30 |
| Gouverneur Hospital | Gouverneur | not published | $3.98 – $15.30 |
| Canton-Potsdam Hospital | Potsdam | not published | $15.30 – $15.30 |
| The Unity Hospital of Rochester | Rochester | not published | $3.80 – $15.30 |